Individual provider Active NPI

Monika Marie Penksa-Rossi, D.C.

  • Chiropractor
  • Park Ridge, IL
National Provider Identifier
1245248582
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-08266 Issued in IL
Practice address
2 Talcott Office Center
Suite 1
Park Ridge, IL 60068-4842
Phone
(847) 774-7609
Fax
(847) 823-1817
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-08266 IL Primary

Addresses

Primary practice location

2 Talcott Office Center
Suite 1
Park Ridge, IL 60068-4842

Mailing address

2 Talcott Office Center
Suite 1
Park Ridge, IL 60068
Phone (847) 774-7609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000408 IL Practitioner - Chiropractic 0749348225 Practice locations: Park Ridge, IL

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 W Talcott Rd
Park Ridge, IL 60068-5500
Phone (847) 774-7609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-08266ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dimovski Chiropractic P.C. Chiropractor Past Accepting new patients
QC Family Chiropractic and Rehabilitation Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1245248582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TALCOTT OFFICE CENTER",
            "address_2": "SUITE 1",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-774-7609",
            "fax_number": "847-823-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TALCOTT OFFICE CENTER",
            "address_2": "SUITE 1",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684842",
            "telephone_number": "847-774-7609",
            "fax_number": "847-823-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENKSA-ROSSI",
        "first_name": "MONIKA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-08266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.