Provider Demographics
NPI:1841593001
Name:MONCION, MERCEDES (MD)
Entity Type:Individual
Prefix:
First Name:MERCEDES
Middle Name:
Last Name:MONCION
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:MERCEDES
Other - Middle Name:
Other - Last Name:MONCION
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1166 E DUNDEE RD
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-8305
Mailing Address - Country:US
Mailing Address - Phone:847-963-8101
Mailing Address - Fax:847-963-8120
Practice Address - Street 1:1166 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-8305
Practice Address - Country:US
Practice Address - Phone:847-963-8101
Practice Address - Fax:847-963-8120
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059323173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine