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DR. MENDENHALL
NPI 1720453947
Community/Behavioral Health in Chicago, IL

Active since December 14, 2015
8104 S KINGSTON AVE, CHICAGO, IL 60617(773) 434-6715 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mendenhall NPPES

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

DR. MENDENHALL (NPI 1720453947) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since December 2015. The organization lists Denise Smith, Senior Biller/ Exec. Asst., as its authorized official.

NPPES Registry Identity

NPI1720453947
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDR. MENDENHALL
Location Address8104 S KINGSTON AVEChicago, IL 60617-1231
Mailing Address8104 S Kingston AveChicago, IL 60617-1231 · (773) 434-6715
Phone(773) 434-6715
Organization SubpartNo
Authorized OfficialDenise SmithSenior Biller/ Exec. Asst. · (331) 643-5238
Enumeration DateDecember 14, 2015
✔ NPI 1720453947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in IL · 180.007149✔ Licensed in IL · 21415
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8104 S KINGSTON AVE, Chicago, IL 60617
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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.

THE JBL GROUP
Counselor (Professional)
8104 S KINGSTON AVE
CHICAGO, IL 60617
Cook County (773) 424-6715

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 Dr. Mendenhall's NPI number?

The NPI number for Dr. Mendenhall is 1720453947. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Dr. Mendenhall located?

Dr. Mendenhall is located at 8104 S Kingston Ave, Chicago, IL 60617. The listed phone number is (773) 434-6715.

What is Dr. Mendenhall's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Dr. Mendenhall was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.