Individual
MRS. LEANN MCMONIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT CNS
Contact information
Practice address
716 CONCORD DR, CRYSTAL LAKE, IL 60014-1820
(815) 404-0919
Mailing address
716 CONCORD DR, CRYSTAL LAKE, IL 60014-1820
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
Primary
041377673
IL
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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