Individual
CLAYTON LEE MONIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(573) 450-5511
Mailing address
2300 S MICHIGAN AVE APT 713, CHICAGO, IL 60616-2115
(573) 450-5511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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