Individual
DR. MONICA PRISCILLA WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
820 S WOOD ST, SUITE 515 CLINICAL SCIENCE NORTH BUILDING (M/C 958), CHICAGO, IL 60612-4325
(312) 996-9313
Mailing address
820 S WOOD ST, SUITE 515 CLINICAL SCIENCE NORTH BUILDING (M/C 958), CHICAGO, IL 60612-4325
(312) 996-9313
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036126893
IL
Other
Enumeration date
06/22/2007
Last updated
07/09/2015
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