Individual provider Active NPI

Monique Latrice Szczepanik, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bolingbrook, IL
National Provider Identifier
1558088427
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026193 Issued in IL
Practice address
730 S Weber Rd
Bolingbrook, IL 60490-5472
Phone
(630) 378-2000
Fax
(844) 971-6928
NPI assigned
Oct 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026193 IL Primary

Addresses

Primary practice location

730 S Weber Rd
Bolingbrook, IL 60490-5472

Mailing address

730 S Weber Rd
Bolingbrook, IL 60490-5472
Phone (630) 378-2000

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801003283 IL Practitioner - Nurse Practitioner 2567823933 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209026193ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairoaks Medical LLC CurrentSince Jun 19, 2023 Accepting new patients
Hoscon, LTD CurrentSince Jul 7, 2024 Accepting new patients
Matrix Medical Plus CurrentSince Oct 1, 2024 Accepting new patients
Joliet Area Community Hospice Corporation CurrentSince Nov 3, 2025 Accepting new patients

Locations

1252 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 782-9780

1252 Ogden Ave
Downers Grove, IL 60515
Phone (630) 876-9000

250 Water Stone Cir
Joliet, IL 60431
Phone (815) 740-4104

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 4

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": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1558088427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905472",
            "telephone_number": "630-378-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905472",
            "telephone_number": "630-378-2000",
            "fax_number": "844-971-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZEPANIK",
        "first_name": "MONIQUE",
        "middle_name": "LATRICE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-21",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.