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NPI 1861329930

IndividualActive

Evan Mendoza

NPI 1861329930 · Flight Registered Nurse · Rockford, IL

Provider details

NPI number: 1861329930
Entity type: Individual
Primary specialty: Flight Registered NurseNursing Service Providers
Sex: Male
Sole proprietor: Yes
License: 041517013 (IL)

Practice location

8201 E Riverside Blvd

Rockford, IL 61114-2300

Phone: (815) 971-7000

More IL providers

Mailing address

5409 East Dr

Loves Park, IL 61111-5025

Registry dates

Enumerated: 2026-05-05
Last updated: 2026-05-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Evan Mendoza — NPI 1861329930, Rockford, IL | NPI Central