HAROLD LISANDRO MENDOZA MORENO RSA
NPI 1366879330
Physician Assistant - Surgical in Plainfield, IL

Q: What is Harold Mendoza Moreno's NPI number?

The NPI number for Harold Mendoza Moreno is 1366879330. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Q: What is Harold Mendoza Moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since October 04, 2013

26536 W COUNTRYSIDE LN, PLAINFIELD, IL 60585(630) 258-0401(779) 234-9841 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Sep 13, 2018 (2 updates tracked since 2018).

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About Harold Lisandro Mendoza Moreno Rsa NPPES

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

HAROLD LISANDRO MENDOZA MORENO RSA (NPI 1366879330) is an individual surgical provider in Plainfield, Illinois, licensed in Illinois (238.000377) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1366879330

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameHAROLD LISANDRO MENDOZA MORENOCredential: RSA

Location Address26536 W COUNTRYSIDE LNPlainfield, IL 60585-2324

Mailing AddressPo Box 163Oswego, IL 60543-0163 · (630) 258-0401

Phone(630) 258-0401

Fax(779) 234-9841

Sole ProprietorYes

Enumeration DateOctober 4, 2013

Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1366879330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 238.000377

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 238.000377 (IL)

26536 W COUNTRYSIDE LN, Plainfield, IL 60585

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Other Providers at the Same Location NPPES

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

GLOBAL SURGICAL SOLUTIONS-PROFESSIONAL LIMITED LIABILITY COM

Physician Assistant (Surgical)

26536 W COUNTRYSIDE LN
PLAINFIELD, IL 60585

Will County (630) 258-0401

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 Harold Mendoza Moreno's NPI number?

The NPI number for Harold Mendoza Moreno is 1366879330. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Where is Harold Mendoza Moreno located?

Harold Mendoza Moreno practices at 26536 W Countryside Ln, Plainfield, IL 60585. The listed phone number is (630) 258-0401.

What is Harold Mendoza Moreno's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Harold Mendoza Moreno was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.