Individual ProviderIsis Mendoza-GarnicaCounselorBehavioral Health & Social Service ProvidersPractice Address2501 Chatham Rd Ste 8115, Springfield, IL 62704-4188(224) 201-3333PECOS EnrollmentBased on the most recent information from CMS, provider Isis Mendoza-Garnica 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 yesterday at 12:57 PM.Profile DetailsProvider ID1831635564Provider TypeIndividualFull NameMendoza-Garnica, IsisCredentialL.C.P.C.GenderFemaleSole ProprietorYesEnumeration Date1/19/2017Last Updated4/2/2023Contact InformationPractice LocationPractice Address2501 Chatham Rd Ste 8115, Springfield, IL 62704-4188Phone(224) 201-3333FaxUnlisted FaxMailing LocationMailing Address2501 Chatham Rd Ste 8115, Springfield, IL 62704-4188Phone(224) 201-3333FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer