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NPI Code Detail

MEDICARE: DR. DEANNA L MONROE D.O

MEDICARE:  DR. DEANNA L MONROE  D.O
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
1208000000XPediatrics PhysicianIL

General Provider Information

NPI Number : 1861450959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEANNA L MONROE D.O
Provider Business Mailing Address
First Line : 2835 N SHEFFIELD AVE
Second Line : #501
City : CHICAGO
State : IL
Zip : 60657-5081
Country : US
Telephone Number : 773-348-8300
Fax Number : 773-348-7163
Provider Business Practice Location Address
First Line : 2835 N SHEFFIELD AVE
Second Line : #501
City : CHICAGO
State : IL
Zip : 60657-5081
Country : US
Telephone Number : 773-348-8300
Fax Number : 773-348-7163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DEANNA L MONROE D.O” Practice Location

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