Individual
MONICA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13049 W 29TH ST, BEACH PARK, IL 60099-9791
(262) 515-3385
(224) 789-7151
Mailing address
13049 W 29TH ST, BEACH PARK, IL 60099-9791
(262) 515-3385
(224) 789-7151
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318497
WI
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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