Individual
MARY ELLEN MONACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
79 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 730-1541
(815) 744-8632
Mailing address
79 129TH INFANTRY DR, JOLIET, IL 60435-5134
(815) 730-1541
(815) 744-8632
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036096928
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096928
—
IL
Enumeration date
09/13/2006
Last updated
09/29/2011
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