Active NPI
Maria Menconi, C.P.N.P.
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1356683080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 041264349
- Practice address
- 680 N Lake Shore Dr
123
Chicago, IL 60611-4546 - Phone
- (312) 642-5515
- Fax
- (312) 642-0753
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 041264349 | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
123
Chicago, IL 60611-4546
Mailing address
680 N Lake Shore Dr
123
Chicago, IL 60611-4546
Phone (312) 642-5515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041264349 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1356683080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "123",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-642-5515",
"fax_number": "312-642-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "123",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-642-5515",
"fax_number": "312-642-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCONI",
"first_name": "MARIA",
"credential": "C.P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "041264349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.