Monika Agata Siedlarz, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.149439 Issued in IL

Practice address

14933 Founders Xing
Lockport, IL 60491-6712

Phone

(708) 778-3001

NPI assigned

Jul 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zenflower Integrative Pediatrics S.C.

  • Pediatrics Physician
  • Homer Glen, IL
  • NPI 1467067074
  NPD Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1164719720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 GOLFVIEW DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414655",
            "telephone_number": "708-778-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14933 FOUNDERS XING",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604916712",
            "telephone_number": "708-778-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 23rd St NE",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011793",
            "country_code": "US",
            "telephone_number": "503-364-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEDLARZ",
        "first_name": "MONIKA",
        "middle_name": "AGATA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD169639",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.149439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5006822027",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Segovich, M.S., CCC-SLP
• Saul Sepulveda, QMHP
• Shark'S Eye Establishment Corp.
• Kelly A Shaw, DPT
• Lauren Shepley, PT
• Kayla Lane Sierzega, PT, DPT
• Jerryl Johnson Simmons, M.D.
• Dianna Celeste Skoczek, MS CCC-SLP
• Aleksandra Slowik, OD
• Small Steps Therapy, LLC

• Pediatrics Physician in Lockport, IL
• Providers in Lockport, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.