IndividualActive
Samson Monachen, DMD
NPI 1982421053 · General Practice Dentistry · Johnsburg, IL
Provider details
- NPI number
- 1982421053
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.035524 (IL)
Specialties & taxonomies
Dental Providers
Practice location
2964 Commerce Dr
Johnsburg, IL 60051-5409
Phone: (815) 363-0103
Approximate (ZIP-level) locationGet directions
Mailing address
1808 N Burning Bush Ln
Mount Prospect, IL 60056-1612
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.