| Katarzyna Mencel M.d.s.c. | |
|
7740 W North Ave Elmwood Park IL 60707-4124 | |
| (708) 456-3200 | |
| (708) 456-3437 |
| Full Name | Katarzyna Mencel M.d.s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7740 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Kathryn J Mencel (OWNER) |
| Authorized Official Contact | 7084563200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katarzyna Mencel M.d.s.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 | Katarzyna Mencel M.d.s.c. 7740 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-3200 |
| NPI Number | 1649459116 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 2062593320 |
|---|---|
| Medicare Enrollment ID | O20080114000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649459116 | NPI | - | NPPES |
| 036103885 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-103885 (Illinois) | Primary |
| Provider Name | Kathryn J Mencel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538113956 PECOS PAC ID: 4981785235 Enrollment ID: I20080114000148 |
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