| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LEANN MCMONIGAL | 1922614429 | 2020-09-20 |
Leann Mcmonigal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922614429. Registration indicates Leann Mcmonigal is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Enterostomal Therapy, ) (Registered Nurse Enterostomal Therapy, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mrs. Leann Mcmonigal STUDENT CNS |
| Practice Office Address | 716 CONCORD DR CRYSTAL LAKE, IL US |
| Practice Office Telephone | 8154040919 |
| Mailing Address | 716 CONCORD DR CRYSTAL LAKE, IL 600141820 US |
| Code | Practice | License No State |
|---|---|---|
| 163WE0900X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Enterostomal Therapy Registered Nurse Enterostomal Therapy Nursing Service Providers Registered Nurse | 041377673
IL |