Individual
MONIKA BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19060 EVERETT BLVD STE 112, MOKENA, IL 60448-1942
(708) 478-4302
(708) 265-1724
Mailing address
62647 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693-0626
(800) 331-9294
(812) 962-6425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.017297
IL
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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