Monaco, Mary Ellen
Monaco, Mary Ellen is an sole proprietor health care provider with primary practice located at 79 129Th Infantry Dr , Joliet IL 60435-5134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Monaco, Mary Ellen can be contacted via phone (815) 730-1541.Contact Information
Primary practice address
79 129Th Infantry Dr
Joliet IL 60435-5134
Phone: (815) 730-1541
Fax: (815) 744-8632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036096928 | Illinois |
Profile Details
| NPI number | 1972607497 |
|---|---|
| LBN Legal business name | Monaco, Mary Ellen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Sep 29th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972607497 | NPPES |
| Illinois | MEDICAID | 036096928 |
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