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Individual

KEITH M MONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2040 OGDEN AVE STE 115, AURORA, IL 60504-7205
(630) 585-0200
Mailing address
2040 OGDEN AVE STE 115, AURORA, IL 60504-7205

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036112548
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112548
IL
Enumeration date
05/13/2006
Last updated
04/02/2019
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