Provider Demographics
NPI:1134236789
Name:ALOMAN, MONICA MIHAELA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:MIHAELA
Last Name:ALOMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 S PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2884
Mailing Address - Country:US
Mailing Address - Phone:312-945-4149
Mailing Address - Fax:
Practice Address - Street 1:1412 S PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2884
Practice Address - Country:US
Practice Address - Phone:312-945-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240903207RR0500X
IN01072289A207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01072289AOtherLICENSE
IN201148110Medicaid