IndividualActive
Monique Tucker, D.D.S.
NPI 1952454084 · General Practice Dentistry · Broadview, IL
Provider details
- NPI number
- 1952454084
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019-023803 (IL)
Specialties & taxonomies
Dental Providers
Practice location
2133 S 17th Ave
Broadview, IL 60155-3019
Phone: (708) 865-0200
Fax: (708) 865-1730
Approximate (ZIP-level) locationGet directions
Mailing address
301 Thatcher Ave
River Forest, IL 60305-2031
Registry dates
- Enumerated
- 2007-01-20
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.