Individual provider
LORENA MENDOZA
CMS NPPES lists LORENA MENDOZA as an individual provider record with NPI 1033942602. The current record reports a primary practice location in ADDISON, IL and primary taxonomy code 163W00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1111 W LAKE STADDISON, IL 601011101
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163W00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 20, 2024
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.