Individual
MS. MONICA J DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
10735 W 159TH ST, ORLAND PARK, IL 60467-4531
(708) 873-7775
(708) 873-0192
Mailing address
2792 NORTHERN LIGHTS WAY, NEW LENOX, IL 60451-0001
(815) 922-8983
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209004927
IL
Other
Enumeration date
01/25/2007
Last updated
12/17/2021
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