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Organization

MAVES MEDICAL LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRY KEITH MONROE M.D. (CHIEF MEDICAL OFFICER)
(847) 731-9663
Entity
Organization

Contact information

Practice address
11316 W WADSWORTH RD, BEACH PARK, IL 60099-3367
(847) 731-9663
(847) 731-9664
Mailing address
11316 W WADSWORTH RD, BEACH PARK, IL 60099-3367
(847) 731-9663
(847) 731-9664

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036087825
IL
01
123163400
DEPT OF LABOR
IL
Enumeration date
07/14/2015
Last updated
07/14/2015
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