Provider Demographics
NPI:1811769813
Name:DULIAN, MONIKA KARA
Entity type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:KARA
Last Name:DULIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 BRISTOL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-2711
Mailing Address - Country:US
Mailing Address - Phone:630-644-0850
Mailing Address - Fax:
Practice Address - Street 1:255 S MARION ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3103
Practice Address - Country:US
Practice Address - Phone:708-838-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator