Individual
KHIN SU MON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2689
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2689
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
036156789
IL
207ZC0500X
Cytopathology Physician
125.069104
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036156789
IL
Other
Enumeration date
04/26/2016
Last updated
08/18/2023
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