Individual
ALAN JOSEPH MONGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 COMMERCE DR STE 275, CRYSTAL LAKE, IL 60014-3594
(847) 420-8786
Mailing address
333 COMMERCE DR STE 275, CRYSTAL LAKE, IL 60014-3594
(847) 420-8786
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720530603
NPI
—
Enumeration date
11/24/2020
Last updated
11/24/2020
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