MJ Mendizabal PA-C MMS, P.C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

MJ MENDIZABAL PA-C MMS, P.C

Practice address

422 N Northwest Hwy Ste B2
Park Ridge, IL 60068-3272

Phone

(773) 984-1494

Fax

(773) 904-1919

NPI assigned

Jan 7, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Jean Mendizabal, PA-C

Title

Owner

Phone

(773) 984-1494

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1215894522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY STE B2",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683272",
            "telephone_number": "773-984-1494",
            "fax_number": "773-904-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N NORTHWEST HWY STE B2",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683272",
            "telephone_number": "773-984-1494",
            "fax_number": "773-904-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ MENDIZABAL PA-C MMS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "MENDIZABAL",
        "authorized_official_first_name": "MARY JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-984-1494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902989908",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinclaire Mitchell
• Marion Jackson Mito, M.A. CCC-SLP
• Amy Mitrano, PA-C
• David Mittelman, M.D.
• Samantha Mizock, LCPC
• Chaeyoung Mo, M.D.
• Mobile Diagnostic Solutions, Inc
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• Modernmed Recovery, LLC
• Ami Deepak Modi, DO

• Physician Assistant in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.