MR. PHILLIP MENDOZA (NPI# 1245546191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245546191 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP MENDOZA |
| Practice Address |
1408 Burke Ln South Elgin IL 60177-3054 |
| Practice Telephone | 8476308836 |
| Mailing Telephone | 8476308836 |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227009699 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757757 | Phillip Romero Mendoza | Orthotist | 5375 E Erickson Dr, #104, Tucson, AZ 85712-2838 | 2005-11-15 |
| 1760681761 | Phillip Mendoza | Family Medicine | 4951 Business Park Blvd, Anchorage, AK 99503 | 2007-07-11 |
| Street Address |
1408 BURKE LN |
| City | SOUTH ELGIN |
| State | IL |
| Zip Code | 60177-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 1730683582 | Pelvic Balance Physical Therapy, LLC | Physical Therapist | 10 N Collins St., South Elgin, IL 60177 | 2018-03-19 |
| 1437693504 | Olaide Olaigbe | Counselor | 690 Fielcrest Drive, Unit A, South Elgin, IL 60177 | 2016-12-08 |
| 1053869461 | Nicole Augustine | Counselor | 418 N. Center Street, South Elgin, IL 60177 | 2016-09-14 |
| 1013351733 | Rehabcare | Skilled Nursing Facility | 746 West Spring Street, South Elgin, IL 60177 | 2013-04-24 |
| 1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
| 1679708572 | Miller Dentistry LLC | Clinic/Center | 404 Randall Road, South Elgin, IL 60177 | 2009-05-20 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| 1285898643 | Jennifer Deanne Mercier | Naturopath | 101 South Mclean Bvld, South Elgin, KANE COUNTY 60177 | 2008-07-15 |
| 1295956845 | Megan Ryan | Counselor | 1283 Angeline Dr., South Elgin, IL 60177 | 2007-05-01 |
| Find all providers in zip 60177 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144502816 | Michelle L Bartolone | Massage Therapist | 1 Marcia Ct, South Elgin, IL 60177-3059 | 2011-09-19 |
| 1700178688 | Sarah Dick | Massage Therapist | 1305 N La Fox St, South Elgin, IL 60177-1225 | 2011-05-10 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ELGIN |
| Zip Code | 60177 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.