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NPI Code Detail

MEDICARE: MONIQUE A ANAWIS MD PC

MEDICARE: MONIQUE A ANAWIS MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianIL

General Provider Information

NPI Number : 1184677643
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONIQUE A ANAWIS MD PC
Provider Business Mailing Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-975-6775
Fax Number :
Provider Business Practice Location Address
First Line : 850 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-3077
Country : US
Telephone Number : 773-975-6775
Fax Number :
Authorized Official
Title or Position : CEO
Name : MONIQUE A ANAWIS
Credential : MD
Telephone Number : 773-975-6775
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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