Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 036130761 | IL |
NPI | 1114170289 |
---|---|
Provider Name | Dr. Denise Monahan |
First Address | Lake Forest, IL 60045-1659 |
Second Address | Lake Forest, IL 60045-1659 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2008 |
Last Update Date | 17/11/2016 |