Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Luis Andre Mendonca Mezzomo, DR

Individual provider Prosthodontics · NPI 1639934243

Luis Andre Mendonca Mezzomo, DR is a Prosthodontics in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

801 S Paulina St
Chicago, IL 60612-7210
Phone: (312) 342-6140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 136000272 (IL)
Prosthodontics Taxonomy 1223P0700X · Licence 136000272 (IL)

Record details

NPI number1639934243
Entity typeIndividual (Type 1)
GenderMale
Credentials DR
Sole proprietorNo
NPI enumeratedFebruary 14, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address939 W Washington Blvd Apt W709, Chicago, IL 60607-2263

Other providers in Chicago