Individual
MONICA S GENSLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
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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