Individual
MONICA BEMBRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
552 N MANNHEIM RD STE B, HILLSIDE, IL 60162-1121
(314) 280-1004
Mailing address
5750 ABBEY DR APT 4M, LISLE, IL 60532-2532
(314) 280-1004
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
N/A
IL
Enumeration date
12/21/2019
Last updated
12/21/2019
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