Kennette Mendoza, is a
Licensed Practical Nurse based in Downers Grove, Illinois. Kennette Mendoza is licensed to practice in Illinois (license number 043108931) and her current practice location is
3460 Saratoga Ave, Downers Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 971-1995.
NPI number for Kennette Mendoza is 1538830633 and her current mailing address is 3460 Saratoga Ave, Downers Grove, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538830633.
Provider's Profile
Full Name | Kennette Mendoza |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 3460 Saratoga Ave, Downers Grove, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538830633
- Provider Enumeration Date: 09/28/2021
- Last Update Date: 09/28/2021
Medical Identifiers
Medical identifiers for Kennette Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538830633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043108931 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kennette Mendoza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kennette Mendoza, 3460 Saratoga Ave, Downers Grove, IL 60515-1348 Ph: (630) 971-1995 | Kennette Mendoza, 3460 Saratoga Ave, Downers Grove, IL 60515-1348 Ph: (630) 971-1995 |
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