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Organization
MONICA KARNEBOGE ORAL MOTOR CLINIC
Active
Organization
MONICA KARNEBOGE ORAL MOTOR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA M KARNEBOGE M.A. (PRESIDENT)
(815) 485-0111
Entity
Organization
Contact information
Practice address
430 W FRANCIS RD, NEW LENOX, IL 60451-1013
(815) 485-0111
(815) 485-0111
Mailing address
430 W FRANCIS RD, NEW LENOX, IL 60451-1013
(815) 485-0111
(815) 485-0111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09915120
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/02/2007
Last updated
08/22/2020
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