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Individual

LEILANIE B MON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4400 W 95TH ST, SUITE 312, OAK LAWN, IL 60453-2654
(708) 499-3160
(708) 499-1150
Mailing address
4400 W 95TH ST, SUITE 312, OAK LAWN, IL 60453-2654
(708) 499-3160
(708) 499-1150

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036060322
IL

Other

Enumeration date
10/26/2006
Last updated
01/24/2012
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