Ezequiel Mendez SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EZEQUIEL MENDEZ SC

Practice address

4121 S Archer Ave
Chicago, IL 60632

Phone

(773) 254-2525

Fax

(773) 254-7999

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Ezequiel Mendez Huerta, MD

Title

President

Phone

(773) 523-2500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346324555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60632",
            "telephone_number": "773-254-2525",
            "fax_number": "773-254-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60632",
            "telephone_number": "773-254-2525",
            "fax_number": "773-254-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZEQUIEL MENDEZ SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ HUERTA",
        "authorized_official_first_name": "EZEQUIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-523-2500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olisa Kingsley Ezegwu, MD
• Ekene Ezenwa, MD
• Elijah Ezeofor
• Adeshola Ezeokoli, MD
• Chukwudozie Okwudili Ezeokoli, MD
• Megan Ezeude
• Richard Marc Ezgur, DC
• Joy Ezidinma, PHARM.D
• Chukwuemeka Frank Ezike, MD
• Ngozi Ogbunamiri Ezike, MD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.