Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAROLD LISANDRO MENDOZA MORENO, RSA
Active Sole ProprietorHAROLD LISANDRO MENDOZA MORENO, RSA is a Surgical Physician Assistant healthcare provider located in PLAINFIELD, Illinois. NPI 1366879330 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · PLAINFIELD, IL
Registration Details
- NPI Number
- 1366879330
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2013 (12.819352242605 yrs)
- Last Updated
- Mar 19, 2024
- Licenses
-
238.000377 (IL)238.000377 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26536 W COUNTRYSIDE LNPLAINFIELD, IL, 605852324Browse IL providers · Browse ZIP 60585
- Phone
- 6302580401
- Fax
- 7792349841
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Clinical Chemistry Technician
Other Surgical Physician Assistant Providers in PLAINFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| ROHINI AVVARU | SA-C | 1346448073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.