MEDICARE: LUZ E MENDEZ L.C.P.C.

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	101YP2500X	Professional Counselor	180005671	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001636201	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1659448819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZ E MENDEZ L.C.P.C.

Provider Business Mailing Address
First Line	:	5617 S MELVINA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-3505
Country	:	US
Telephone Number	:	773-582-1212
Fax Number	:

Provider Business Practice Location Address
First Line	:	3166 N LINCOLN AVE STE 224
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3119
Country	:	US
Telephone Number	:	131-290-9100
Fax Number	:

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

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	06/08/2012

Similar Medicare Providers

1972527075 — MR. MICHAEL EDWARD TRAMMELL LCSW
Practice Location Address:

3166 N LINCOLN AVE , SUITE 214
CHICAGO, IL
60657-3119

Practice Phone: 773-559-1069
Practice Fax:

1831246479 — LUZ-MARITZA CORDERO M.A., L.C.P.C.
Practice Location Address:

3166 N LINCOLN AVE STE 304
CHICAGO, IL
60657-3119

Practice Phone: 773-315-8625
Practice Fax: 773-279-8168

1992829998 — DR. BONNY M FLASTER D.C.
Practice Location Address:

3166 N LINCOLN AVE STE 302
CHICAGO, IL
60657-3119

Practice Phone: 312-642-7545
Practice Fax:

1528349818 — MS. MELISSA A NOVAK LCSW
Practice Location Address:

3166 N LINCOLN AVE STE 217
CHICAGO, IL
60657-3119

Practice Phone: 773-270-2246
Practice Fax:

1659637601 — JILLIAN TAYLOR CLARKE LCSW
Practice Location Address:

3166 N LINCOLN AVE STE 214A
CHICAGO, IL
60657-3119

Practice Phone: 309-678-4413
Practice Fax:

1700142460 — DR. TIFFANY L TIBERI PSY.D.
Practice Location Address:

3166 N LINCOLN AVE STE 314
CHICAGO, IL
60657-3119

Practice Phone: 773-372-6027
Practice Fax:

Directions to “ LUZ E MENDEZ L.C.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.