Active NPI
Renata Marie Mendez, DC
- Sports Physician Chiropractor
- Bloomingdale, IL
National Provider Identifier
1912623976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038.013919
- Practice address
- 148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491 - Phone
- (815) 341-7277
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038.013919 | IL | Primary |
Addresses
Primary practice location
148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491
Mailing address
148 S Bloomingdale Rd Ste 107
Bloomingdale, IL 60108-1491
Phone (815) 341-7277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013919 | IL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renata Mendez LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wheaton, IL
- NPI 1760237457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1912623976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 S BLOOMINGDALE RD STE 107",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081491",
"telephone_number": "815-341-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 S BLOOMINGDALE RD STE 107",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081491",
"telephone_number": "815-341-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "RENATA",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038.013919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.