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Organization
MONIQUE BROTMAN, D.O. LLC
Active
Organization
MONIQUE BROTMAN, D.O. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE BROTMAN D.O. (DR/OWNER)
(708) 434-4075
Entity
Organization
Contact information
Practice address
1010 LAKE ST, SUITE 507, OAK PARK, IL 60301-1147
(708) 434-4075
Mailing address
1010 LAKE ST, SUITE 507, OAK PARK, IL 60301-1147
(708) 434-4075
(708) 434-4079
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
336070734
IL
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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