Alan Joseph Mongin

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

333 Commerce Dr Ste 275
Crystal Lake, IL 60014-3594

Phone

(847) 420-8786

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1356945935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR STE 275",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143594",
            "telephone_number": "847-420-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR STE 275",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143594",
            "telephone_number": "847-420-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIN",
        "first_name": "ALAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720530603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Irene Mitchinson, M.A.,CCC-SLP/L
• Mobile Enrichment Services, LLC
• Nicole Elizabeth Mogged, PHARMD
• Irfan K Moinuddin, M.D.
• Momme Wellness LLC
• Judith Mongoum Pene, FNP
• Tara M Monica
• Kristin Leona Monical, OTD
• Sandra Terese Montalvo, LCPC
• Mooney Group

• Home Health Aide in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.