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Miriam A Mendoza
Mental Health Clinic/Center (Including Community Mental Health Center) in Winfield, Illinois
NPI 1093232894

Miriam A Mendoza is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Winfield, IL and is specialized in Mental Health (Including Community Mental Health Center). Miriam A Mendoza practices in Winfield, IL. The NPI Number for Miriam A Mendoza is 1093232894 and holds a License No. (Illinois).

The current practice location address for Miriam A Mendoza is 28W671 Garys Mill Rd, Winfield, IL and can be reached out via phone at 630-293-9860 and via fax at 630-293-9861.

Location: 28W671 Garys Mill Rd, Winfield, IL, 60190-1564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093232894
Provider Name
Miriam A Mendoza
Credential
Provider Entity Type
Individual
Gender
Female
Address
28W671 Garys Mill Rd, Winfield, IL, 60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28W671 Garys Mill Rd
City
Winfield
State
Illinois
Zip
60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
person
Provider Business Mailing Address Details
Address
28W671 Garys Mill Rd
City
Winfield
State
Illinois
Zip
60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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