Monica Y Bruce, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1030 S Kunkle Blvd
Freeport, IL 61032-6914

Phone

(815) 238-8100

Fax

(815) 232-6337

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164630943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 BARLEY RIDGE TRL",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610322825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S KUNKLE BLVD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326914",
            "telephone_number": "815-238-8100",
            "fax_number": "815-232-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MONICA",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Brookover
• Marylon Willette Brooks, LPN
• Takesha J Brooks
• Mary E Brown, MASSAGE THERAPIST
• Taylor Brubaker
• Mark Bryan, PT
• Building Blocks Pediatric Physical Therapy, LLC (Building Blocks)
• Michelle Bunch
• Richard T Burkinshaw, P.T.
• Deborah Ann Burnell, L.C.S.W.

• Speech-Language Pathologist in Freeport, IL
• Providers in Freeport, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.