NPIMap

Organization Active NPI

Monarch Wellness LLC

  • Adult Mental Health Clinic/Center
  • Willowbrook, IL
National Provider Identifier
1457889222
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MONARCH WELLNESS LLC
Practice address
545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601
Phone
(773) 991-6582
NPI assigned
May 24, 2017
Last updated
May 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Sharon BastinNPI 1639417090
Title
Owner
Phone
(773) 991-6582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601

Mailing address

545 Plainfield Rd Ste C
Willowbrook, IL 60527-7601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1457889222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 PLAINFIELD RD STE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277601",
            "telephone_number": "773-991-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "BASTIN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-991-6582"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.