Joseph Albert Mendoza
Occupational Therapist - Neurorehabilitation Occupational Therapist - Physical Rehabilitation
1740 W Taylor St C100, M/c 889
Chicago
, Illinois 60612-7232
Joseph Albert Mendoza
Occupational Therapist - Neurorehabilitation Occupational Therapist - Physical Rehabilitation
1740 W Taylor St C100, M/c 889
Chicago
, Illinois 60612-7232
(312) 996-3700
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Joseph Albert Mendoza
- 1740 W Taylor St C100, M/c 889
- Chicago, IL
- Zip : 60612-7232
- Phone : (312) 996-3700
Second Address
- Joseph Albert Mendoza
- 1740 W Taylor St C100, M/c 889
- Chicago, IL
- Zip : 60612-7232
- Phone : (312) 996-3700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 056.009192 | IL |
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 056.009192 | IL |
National Provider Identifier
| NPI | 1770825135 |
|---|---|
| Provider Name | Joseph Albert Mendoza |
| First Address | Chicago, IL 60612-7232 |
| Second Address | Chicago, IL 60612-7232 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2013 |
| Last Update Date | 25/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.