NPI 1134621725

Jesse Mejorada, CP

Practitioner Prosthetist Oak Park, IL

Practice location

Address: 401 Harrison St, Oak Park, IL 60304-1427
Phone: (708) 383-2257
Fax: (708) 383-0739
Mailing address: 1s376 Summit Ave Court E, Oakbrook Terrace, IL 60181-3985

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000146 (IL)

Other Prosthetist providers in Illinois →

Registry record

NPI: 1134621725
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2018
Record last updated: 28 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.