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General NPI Number Information
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NPI Number | 1508774068
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Entity Type | Individual
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Provider Name | MONICA ELIZABETH OWENS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 3015 HAROLDS CRES
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2009
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Country | US
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Telephone | 708-420-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 REGENT DR
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City | MATTESON
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State | IL
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Zip | 60443-3090
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Country | US
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Telephone | 708-910-8054
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041.359651
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License Number State | IL
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