MEDICARE: RESHAM R. MENDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	036-115408	IL

General Provider Information

NPI Number	:	1902097538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RESHAM R. MENDI MD

Provider Business Mailing Address
First Line	:	31 ARLINGTON HEIGHTS RD
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-1405
Country	:	US
Telephone Number	:	847-439-2315
Fax Number	:

Provider Business Practice Location Address
First Line	:	31 ARLINGTON HEIGHTS RD
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-1405
Country	:	US
Telephone Number	:	847-439-2315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	02/15/2016

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