| Mrs Diana Lynne Monaghan, PA-C | |
|
321 N La Grange Rd, La Grange Park, IL 60526-5622 | |
| (708) 485-1020 | |
| Not Available |
| Full Name | Mrs Diana Lynne Monaghan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 321 N La Grange Rd, La Grange Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083711055 | NPI | - | NPPES |
| 055-0030778 | Other | VT | LICENSE EXPIRES 01/31/20 |
| 085.003465 | Other | IL | LICENSE |
| 0009284 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 055-0030778 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Lynne Monaghan, PA-C 331 S Ridgeland Ave, Unit D, Oak Park, IL 60302-3599 Ph: (708) 386-1030 | Mrs Diana Lynne Monaghan, PA-C 321 N La Grange Rd, La Grange Park, IL 60526-5622 Ph: (708) 485-1020 |
Alexandra Trevino, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 321 N La Grange Rd, La Grange Park, IL 60526 Phone: 708-745-5277 |