Ruth E Moncayo
Anesthesiology in Maywood, IL. Individual provider (NPI-1).
NPI number1619902020
StatusActive
Last updated in NPPESApr 27, 2021
Details
- NPI
- 1619902020
- Entity type
- Individual (NPI-1)
- Name
- Ruth E Moncayo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2006
- Certification date
- Apr 27, 2021
- Last updated
- Apr 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 036091519 | IL | Yes |
Practice location
2160 S First Ave(Bldg. 103, Rm.3102)
Maywood, IL 60153
Phone 708-216-6462 · Fax 708-216-1249
Mailing address
2160 S First Ave(Bldg. 103, Rm.3102)
Maywood, IL 60153
Phone 708-216-6462 · Fax 708-216-1249
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