Monique Brotman D.O.

NPI 1447395108 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1447395108
Gender Female
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1322 E 47TH ST
CHICAGO IL, 60653-4508, US
Phone (773) 924-1978
Fax
Business Location
417 HERRICK RD
RIVERSIDE IL, 60546-2020, US
Phone
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Illinois
License Number 36109995
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According to our database, Dr. Monique Brotman D.O. NPI is 1447395108, taxonomy code is 207V00000X and license number is 36109995, license state is located at Illinois. Monique Brotman D.O. physically located at 1322 E 47th St, Chicago IL, 60653-4508. NPI Number Monique Brotman D.O. has the Individual type.

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1447395108 NPI number is provided on an as is basis without warranty of any kind. 1447395108 is maintained by the National Plan & Provider Enumeration System. The contents of Monique Brotman D.O. are for informational purposes only.