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EZEQUIEL MENDEZ SC
NPI 1346324555
Family Medicine in Chicago, IL

Active since October 24, 2006CLIA 14D0993877 · Waiver
4121 S ARCHER AVE, CHICAGO, IL 60632(773) 254-2525(773) 254-7999 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ezequiel Mendez Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZEQUIEL MENDEZ SC (NPI 1346324555) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Ezequiel Mendez Huerta, President, as its authorized official.

NPPES Registry Identity

NPI1346324555
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEZEQUIEL MENDEZ SC
Location Address4121 S ARCHER AVEChicago, IL 60632
Mailing Address4121 S Archer AveChicago, IL 60632 · (773) 254-2525 · Fax (773) 254-7999
Phone(773) 254-2525
Fax(773) 254-7999
Organization SubpartNo
Authorized OfficialEzequiel Mendez HuertaPresident · (773) 523-2500
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1346324555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4121 S ARCHER AVE, Chicago, IL 60632
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0993877

Ezequiel Mendez-Huerta MD · Chicago, IL
Active · expires Nov 27, 2027
CLIA Number14D0993877
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorEzequiel Mendez-Huerta
Laboratory Phone(773) 254-2525
Laboratory LocationEzequiel Mendez-Huerta MD4121 South Archer, Chicago, IL 60632
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EZEQUIEL MENDEZ-HUERTA MD
Family Medicine
4121 S ARCHER AVE
CHICAGO, IL 60632
Cook County (773) 254-2525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezequiel Mendez Sc's NPI number?

The NPI number for Ezequiel Mendez Sc is 1346324555. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Ezequiel Mendez Sc located?

Ezequiel Mendez Sc is located at 4121 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 254-2525.

What is Ezequiel Mendez Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ezequiel Mendez Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0993877) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ezequiel Mendez Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.