Individual
BARBARA MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6770
Mailing address
4114 N BELL AVE, CHICAGO, IL 60618-2914
(773) 267-0631
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-106458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036106458
BLUE SHIELD
IL
05
—
036106458
—
IL
05
—
036106458-5
—
IL
Enumeration date
07/13/2006
Last updated
03/24/2009
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