IndividualActive
Diana Mendoza
NPI 1003784869 · Physician Assistant · Chicago, IL
Diana Mendoza is a Physician Assistant provider in Chicago, IL (NPI 1003784869).
Provider details
- NPI number
- 1003784869
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 085011597 (IL)
Practice location
5406 W Fullerton Avenue
Chicago, IL 60639-1427
Phone: (773) 466-7012
Street-level locationGet directions
Mailing address
5406 W Fullerton Avenue
Chicago, IL 60639-1427
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.