Individual
DR. MONIQUE L. CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
603 W TUDOR RD, ANCHORAGE, AK 99503
(907) 522-5437
(907) 522-5435
Mailing address
603 W TUDOR RD, ANCHORAGE, AK 99503
(907) 522-5437
(907) 522-5435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036108167
IL
208000000X
Pediatrics Physician
Primary
6196
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036108167
STATE LICENSE
IL
05
—
036108167
—
IL
05
—
1020541
—
AK
01
—
336069066
CTL SUBS LICENSE
IL
01
—
43083
COLORADO STATE LICENSE
CO
Enumeration date
12/14/2005
Last updated
03/07/2023
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