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EZEQUIEL MENDEZ-HUERTA MD
NPI 1396842829
Family Medicine in Chicago, IL

Active since September 19, 2006
4121 S ARCHER AVE, CHICAGO, IL 60632(773) 254-2525(773) 254-7999 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ezequiel Mendez-huerta Md NPPES

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

EZEQUIEL MENDEZ-HUERTA MD (NPI 1396842829) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036089095) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1396842829
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEZEQUIEL MENDEZ-HUERTACredential: MD
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
Sole ProprietorNo
Enumeration DateSeptember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396842829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036089095
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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Other Identifiers 3

Medicaid036089095IL
Medicare UPING15150
Medicare ID-Type Unspecified585890

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 SC
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-huerta's NPI number?

The NPI number for Ezequiel Mendez-huerta is 1396842829. It was assigned to this individual provider in the NPPES registry on September 19, 2006.

Where is Ezequiel Mendez-huerta located?

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

What is Ezequiel Mendez-huerta's specialty?

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

When was this NPI record last updated?

The NPPES record for Ezequiel Mendez-huerta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.