Healthcare Provider Details

I. General information

NPI: 1407945645
Provider Name (Legal Business Name): DEAN T MONMA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ON025 WINFIELD RD.
WINFIELD IL
60190
US

IV. Provider business mailing address

25 N WINFIELD RD
WINFIELD IL
60190-1379
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-1600
  • Fax:
Mailing address:
  • Phone: 630-933-6675
  • Fax: 630-933-2614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number036078214
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036078214
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: