Individual provider · Type 1 NPI

Diana Mendoza

Physician Assistant · Chicago, IL

NPI number 1003784869 Active

Practice location

5406 W Fullerton Avenue
Chicago, IL 60639-1427

Call (773) 466-7012 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085011597 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003784869

Diana Mendoza's National Provider Identifier is 1003784869, issued on Oct 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2025.