Individual
MONICA ANN BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
40319 W BEACH LN, ANTIOCH, IL 60002-9534
(224) 636-6596
Mailing address
40319 W BEACH LN, ANTIOCH, IL 60002-9534
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020014511
IL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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