Individual provider Active NPI

Monica Stephans, DC

  • Chiropractor
  • Evanston, IL
National Provider Identifier
1477320463
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.014069 Issued in IL
Practice address
1117 Emerson St
Evanston, IL 60201-3131
Phone
(847) 869-1773
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038.014069 IL
Sports Physician Chiropractor 111NS0005X 038.014069 IL
Orthopedic Chiropractor 111NX0800X 038.014069 IL
Chiropractor 111N00000X 038.014069 IL Primary

Addresses

Primary practice location

1117 Emerson St
Evanston, IL 60201-3131

Mailing address

2140 N Halsted St Apt 4F
Chicago, IL 60614-4339
Phone (262) 397-7338

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002602 IL Practitioner - Chiropractic 6002266764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Spine and PerformanceGroup PAC ID 3173034048, 3 clinicians

Practice addresses (Care Compare)

3807 N Lincoln Ave
Chicago, IL 60613-3519
Phone (773) 558-8975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.014069ILMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spine & Performance Chiropractor CurrentSince Jul 15, 2025 Accepting new patients
Wellness Revolution Lakeview LLC Chiropractor PastSince Dec 10, 2023 Accepting new patients

Locations

3807 N Lincoln Ave
Chicago, IL 60613
Phone (724) 599-6924

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1477320463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 N HALSTED ST APT 4F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144339",
            "telephone_number": "262-397-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "847-869-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHANS",
        "first_name": "MONICA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038.014069",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038.014069",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038.014069",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.014069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.