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1902989908
MARY JEAN MENDIZABAL
DES PLAINES, IL
NPI
1902989908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 85002898)
Enumeration Date
2006-10-23
Last Update Date
2007-07-08
Business Address
-- MARY JEAN MENDIZABAL PA
1 N BROADWAY ST
DES PLAINES, IL 60016-2335
Phone number: 847-298-3150
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Mailing Address
-- MARY JEAN MENDIZABAL PA
3312 W BEACH AVE APT 1
CHICAGO, IL 60651-2592
Phone number: 347-907-7565
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