Individual provider Active NPI

Monica Lynn De Iorio, PHD

  • Clinical Neuropsychologist
  • Chicago, IL
National Provider Identifier
1548908734
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071.010715 Issued in IL
Practice address
325 S Paulina St FL 2
Chicago, IL 60612-3206
Phone
(312) 563-1463
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 071.010715 IL Primary

Addresses

Primary practice location

325 S Paulina St FL 2
Chicago, IL 60612-3206

Mailing address

400 Baker Dr Apt C
Itasca, IL 60143-3306
Phone (630) 809-1158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220923000128 IL Practitioner - Clinical Psychologist 0648655845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1645 W Jackson Blvd
Suite 602
Chicago, IL 60612-2847
Phone (312) 942-8387

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.010715ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Rush University Medical Center CurrentSince Sep 1, 2022 Accepting new patients

Locations

1645 W Jackson Blvd
Ste 602
Chicago, IL 60612
Phone (312) 942-8387

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

325 S Paulina St
Fl 2
Chicago, IL 60612
Phone (312) 563-1536

75 Remittance Dr
Dept 1611
Chicago, IL 60675

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1548908734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BAKER DR APT C",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601433306",
            "telephone_number": "630-809-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S PAULINA ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123206",
            "telephone_number": "312-563-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE IORIO",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071.010715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.