Men'S Clinic, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEN'S CLINIC, PLLC

Practice address

2700 S River Rd Ste 309
Des Plaines, IL 60018-4101

Phone

(312) 789-4450

NPI assigned

Mar 18, 2020

Organization subpart

No

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

Authorized official

Name

Alexander Paziotopoulos, MD

Title

Owner

Phone

(844) 734-3678

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1225664683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S RIVER RD STE 309",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184101",
            "telephone_number": "312-789-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S RIVER RD STE 309",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184101",
            "telephone_number": "312-789-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "PAZIOTOPOULOS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-734-3678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IL LICENSE",
            "identifier": "036.134622",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "2700 S River Rd Ste 309",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600184101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medsource LLC
• Mitchell B Meghpara, M.D.
• Snehal Mehta, P.T.
• Jessica Ann Mejia
• Amanda Melesio
• Mary Jean Mendizabal, PA
• Laura Mendoza, LAC, DIPL. AC
• Mark Anthony Mendoza, PTA
• Mylinh Hau Mendoza, SLP
• Rosa Maria Mendoza, NP

• Health Service Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.