| Harold Lisandro Mendoza Moreno, RSA | |
|
26536 W Countryside Ln, Plainfield, IL 60585-2324 | |
| (630) 258-0401 | |
| (779) 234-9841 |
| Full Name | Harold Lisandro Mendoza Moreno |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 26536 W Countryside Ln, Plainfield, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366879330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 238.000377 (Illinois) | Primary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238.000377 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Harold Lisandro Mendoza Moreno, RSA Po Box 163, Oswego, IL 60543-0163 Ph: (630) 258-0401 | Harold Lisandro Mendoza Moreno, RSA 26536 W Countryside Ln, Plainfield, IL 60585-2324 Ph: (630) 258-0401 |
Adeel Kamal, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13152 Millbank Dr, Plainfield, IL 60585 Phone: 630-201-2624 | |
Kristina Regina Gaspers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16519 S Rte 59, Plainfield, IL 60586 Phone: 630-646-5020 Fax: 630-646-5025 | |
Danielle Marie Everett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16519 S Route 59, Plainfield, IL 60586 Phone: 630-870-7310 | |
Leigh Agombar Wolf, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15728 S Route 59, Plainfield, IL 60544 Phone: 815-436-8831 | |
Rohini Avvaru, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 24513 Bay Creek Ln, Plainfield, IL 60586 Phone: 414-628-6901 | |
Molly Margaret Revis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15728 S Route 59, Plainfield, IL 60544 Phone: 815-436-8831 |