Individual
MISS MONICA BROADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2133 W LEXINGTON ST, CHICAGO, IL 60612-3707
(312) 746-4664
(312) 746-6526
Mailing address
2133 W LEXINGTON ST, CHICAGO, IL 60612-3707
(312) 746-4664
(312) 746-6526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0413000441
IL
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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