Individual provider Active NPI

Naomi Faye Monk, APRN

  • Family Nurse Practitioner
  • Lake Villa, IL
National Provider Identifier
1508575846
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.026418 Issued in IL
Practice address
50 S Milwaukee Ave Ste 104
Lake Villa, IL 60046-9407
Phone
(847) 892-1550
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.026418 IL Primary
Family Nurse Practitioner 363LF0000X 309.019567 IL

Addresses

Primary practice location

50 S Milwaukee Ave Ste 104
Lake Villa, IL 60046-9407

Mailing address

2801 Glenarye Dr
Lindenhurst, IL 60046-7925
Phone (847) 989-7075

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

State licenses

LicenseStateTypeSpecialty
209.026418ILMDFamily Nurse Practitioner
309.019567ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1508575846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 GLENARYE DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467925",
            "telephone_number": "847-989-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S MILWAUKEE AVE STE 104",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469407",
            "telephone_number": "847-892-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "NAOMI",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.026418",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "309.019567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Villa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.