MARTHA G MENCHACA

CHICAGO, IL
NPI1629059662
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085D0003X Radiology Diagnostic Neuroimaging
(Licence: IL  036.111975)
Additional Taxonomies2085R0202X Radiology Diagnostic Radiology
(Licence: IL  036.111975)
2085R0202X Radiology Diagnostic Radiology
(Licence: MA  224444)
Enumeration Date2005-11-08
Last Update Date2021-04-28
Business Address
DR. MARTHA G MENCHACA M.D.
4130 W 26TH ST
CHICAGO, IL 60623-4312
Phone number: 312-580-5755
Mailing Address
DR. MARTHA G MENCHACA M.D.
4130 W 26TH ST
CHICAGO, IL 60623-4312
Phone number: 312-580-5755