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NPI Code Detail

MEDICARE: DR. VICTOR MENA D.N.

MEDICARE:  DR. VICTOR  MENA  D.N.
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
1172P00000XNaprapath181.000373IL

General Provider Information

NPI Number : 1215291182
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTOR MENA D.N.
Provider Business Mailing Address
First Line : 3410 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1117
Country : US
Telephone Number : 773-909-8467
Fax Number : 773-463-0832
Provider Business Practice Location Address
First Line : 3410 W MONTROSE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-1117
Country : US
Telephone Number : 773-909-8467
Fax Number : 773-463-0832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2012
Last Update Date : 06/26/2012

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Directions to “ DR. VICTOR MENA D.N.” Practice Location

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