Provider Demographics
NPI:1144898727
Name:KAFEEL, MONA (DPM)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:KAFEEL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6445 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-2901
Mailing Address - Country:US
Mailing Address - Phone:773-202-8800
Mailing Address - Fax:773-631-2461
Practice Address - Street 1:6445 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-2901
Practice Address - Country:US
Practice Address - Phone:773-202-8800
Practice Address - Fax:773-631-2461
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL135.001126213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery