Provider Demographics
NPI:1386417046
Name:MONJE, ROANELEE
Entity type:Individual
Prefix:
First Name:ROANELEE
Middle Name:
Last Name:MONJE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 E GOLF RD STE 1096
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5835
Mailing Address - Country:US
Mailing Address - Phone:630-329-7028
Mailing Address - Fax:
Practice Address - Street 1:1750 E GOLF RD STE 1096
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5835
Practice Address - Country:US
Practice Address - Phone:630-329-7028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-03
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001146251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health