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NPI Code Detail

MEDICARE: JHOANA MENDOZA TORRES

MEDICARE: JHOANA MENDOZA TORRES
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
1104100000XSocial Worker
21041C0700XClinical Social Worker149.028864IL

General Provider Information

NPI Number : 1477170090
Entity Type Code : Individual
Provider Name (Legal Business Name) : JHOANA MENDOZA TORRES
Provider Business Mailing Address
First Line : 12 S ALBERT ST
Second Line :
City : MOUNT PROSPECT
State : IL
Zip : 60056-3402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1135 SKOKIE BLVD
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4118
Country : US
Telephone Number : 847-441-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2020
Last Update Date : 07/10/2025

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Directions to “ JHOANA MENDOZA TORRES ” Practice Location

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