Individual ProviderRosa Maria MendozaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 N River Rd Ste 100, Des Plaines, IL 60016-1272(847) 297-1515PECOS EnrollmentBased on the most recent information from CMS, provider Rosa Maria Mendoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1629851829Provider TypeIndividualFull NameMendoza, Rosa MariaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date8/14/2023Last Updated11/10/2023Contact InformationPractice LocationPractice Address150 N River Rd Ste 100, Des Plaines, IL 60016-1272Phone(847) 297-1515FaxUnlisted FaxMailing LocationMailing Address150 N River Rd Ste 100, Des Plaines, IL 60016-1272Phone(847) 297-1515FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.028053Illinois