Mj Mendizabal Pa-C Mms, P.C
NPI 1215894522ActiveOrganization· Physician Assistant· Park Ridge, IL
Physician Assistant in Park Ridge, Illinois, registered in NPPES in January 2026. The authorized official on file is Mary Jean Mendizabal, PA-C, Owner.
Overview
| NPI | 1215894522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2026 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Park Ridge
- 1639437684
- 1255695557
- 1760985469
- 1023706744
- 1659656049
- 1922482207
- 1104398965
- 1538713441
- 1578327813
- 1720829351
- 1992139281
- 1861024416