Mondesir, Legia

Mondesir, Legia is an individual health care provider with primary practice located at 2160 S 1St Ave (Bldg. 103, Rm. 3102), Maywood IL 60153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mondesir, Legia can be contacted via phone (708) 216-6462.

Contact Information

Primary practice address
2160 S 1St Ave (Bldg. 103, Rm. 3102) Maywood IL 60153
Fax: (708) 216-1249
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 36101526 Illinois

Profile Details

NPI number 1700856143
LBN Legal business name Mondesir, Legia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700856143 NPPES
Illinois MEDICAID 36101526

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