NPIMap

Individual provider Active NPI

Monica Bembry

  • Prosthetics Case Management
  • Hillside, IL
National Provider Identifier
1760021703
Registry record updated Dec 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
552 N Mannheim Rd Ste B
Hillside, IL 60162-1121
Phone
(314) 280-1004
NPI assigned
Dec 21, 2019
Last updated
Dec 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X NU Primary

Addresses

Primary practice location

552 N Mannheim Rd Ste B
Hillside, IL 60162-1121

Mailing address

5750 Abbey Dr Apt 4M
Lisle, IL 60532-2532
Phone (314) 280-1004

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherILN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MonicaUnitServices@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1576886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576886400000",
    "number": "1760021703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 ABBEY DR APT 4M",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322532",
            "telephone_number": "314-280-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 N MANNHEIM RD STE B",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621121",
            "telephone_number": "314-280-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMBRY",
        "first_name": "MONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-21",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000000",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MonicaUnitServices@gmail.com",
            "affiliation": "N",
            "address_1": "5750 Abbey Dr Apt 4M",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605322532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.