Individual
DR. HARRY KEITH MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 WEILAND RD SUITE 100, BUFFALO GROVE, IL 60089-7053
(847) 947-8444
(847) 947-8435
Mailing address
975 WEILAND RD SUITE 100, BUFFALO GROVE, IL 60089-7053
(847) 947-8444
(847) 947-8435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-087825
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087825
—
IL
01
—
123163400
DEPT OF LABOR
IL
01
—
21620070
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/20/2006
Last updated
02/18/2020
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