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NPI Code Detail

MEDICARE: MS. MONIQUE MARIA HOWARD M.D.

MEDICARE: MS. MONIQUE MARIA HOWARD M.D.
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
12080A0000XPediatric Adolescent Medicine Physician29710KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346243326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONIQUE MARIA HOWARD M.D.
Provider Business Mailing Address
First Line : 611 W. PARK STREET
Second Line :
City : URBANA
State : IL
Zip : 61801-2500
Country : US
Telephone Number : 217-383-6792
Fax Number : 217-383-4752
Provider Business Practice Location Address
First Line : 311 W. FAIRCHILD STREET
Second Line :
City : DANVILLE
State : IL
Zip : 61832-3803
Country : US
Telephone Number : 217-431-7900
Fax Number : 217-431-7634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 01/26/2015

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