Keith M. Monson, M.D., SC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KEITH M. MONSON, M.D., SC

Practice address

400 N Wall St
Suite 304
Kankakee, IL 60901-2940

Phone

(815) 932-6400

Fax

(815) 935-7062

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith M. Monson, M.D.NPI 1700837788

Title

President

Phone

(815) 932-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith M Monson, M.D.

  • Surgery Physician
  • Aurora, IL
  • NPI 1700837788
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265539472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1756",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609011756",
            "telephone_number": "815-932-6400",
            "fax_number": "815-935-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WALL ST",
            "address_2": "SUITE 304",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012940",
            "telephone_number": "815-932-6400",
            "fax_number": "815-935-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M. MONSON, M.D., SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-932-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4632066",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kankakee Urgent Care
• Kankakee Valley OB/GYN,LLC
• Vijay Kata, MD
• Niketa Kataria, MD
• Charles Jonathan Kay, D.D.S.
• Debbie Kelly, PTA
• James M Kelly, M.D.
• Regan Lane Kendregan, PA
• Sana H Khadri, DO
• Muhammad Affan Khalid

• Surgery Physician in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.