Individual
MONICA S GENSLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
2459 PEBBLE CREEK DR, OAKLAND, MI 48363-2246
(248) 909-2588
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
085.009845
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2023
Last updated
04/03/2025
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