Individual
RALPH MONACO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 MACARTHUR BOULEVARD, MUNSTER, IN 46321-3901
(219) 836-1600
(219) 513-1127
Mailing address
901 MACARTHUR BOULEVARD, ANESTHESIA DEPARTMENT, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
28151381A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28151381A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203434
ANTHEM BCBS
IN
05
—
036079113
—
IL
05
—
200382350A
—
IN
Enumeration date
05/11/2006
Last updated
01/11/2008
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