James Mendoza
James Mendoza is an Early Intervention Provider Agency in Waukegan, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
2005 Washington StWaukegan, IL 60085-5131
Phone: (847) 910-5059
Fax: (847) 623-5304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (IL) |
|---|
Record details
| NPI number | 1396166724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2014 |
| Last updated in NPPES | January 3, 2014 |
| Mailing address | 2005 Washington St, Waukegan, IL 60085-5131 |