Active NPI
Barbara Lynn Mondik, MD
- Surgery Physician
- Machesney Park, IL
National Provider Identifier
1538426580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD048625L
- Practice address
- 10100 Forest Hills Rd # Dpt0406
Machesney Park, IL 61115-8234 - Phone
- (815) 713-2600
- Fax
- (815) 654-8020
- NPI assigned
- Apr 16, 2012
- Last updated
- Apr 16, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD048625L | PA | Primary |
Addresses
Primary practice location
10100 Forest Hills Rd # Dpt0406
Machesney Park, IL 61115-8234
Mailing address
10100 Forest Hills Rd # Dpt0406
Machesney Park, IL 61115-8234
Phone (815) 713-2600
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD048625L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canady Surgical Associates PC | Surgery | Past | Accepting new patients |
| Enrico Nicolo, M.D. PC | Surgery | Past | Accepting new patients |
| Acute Care Plus | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Machesney Park, IL
- NPI 1982979480
-
- Surgery Physician
- Monongahela, PA
- NPI 1124200951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1538426580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10100 FOREST HILLS RD # DPT0406",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611158234",
"telephone_number": "815-713-2600",
"fax_number": "815-654-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10100 FOREST HILLS RD # DPT0406",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611158234",
"telephone_number": "815-713-2600",
"fax_number": "815-654-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDIK",
"first_name": "BARBARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD048625L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Machesney Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.