Provider Demographics
NPI:1215915772
Name:BARTH, MONICA LEONA (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LEONA
Last Name:BARTH
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:LEONA
Other - Last Name:BARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:530 OZIER DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1393
Mailing Address - Country:US
Mailing Address - Phone:630-406-6536
Mailing Address - Fax:
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:RM 1024, BLDG 103, OB/GYNE, LOYOLA UNIV MED CENTER
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-0576
Practice Address - Fax:708-216-5669
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS