Individual
KARISSA LEEANN MONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 N MAIN ST STE 200, SANDWICH, IL 60548
(815) 786-3770
Mailing address
1310 N MAIN ST STE 200, SANDWICH, IL 60548-1395
(815) 786-3770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036144121
IL
390200000X
Student in an Organized Health Care Education/Training Program
125066758
IL
Other
Enumeration date
06/08/2015
Last updated
09/20/2018
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