Active NPI
Laura Munich
- Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209012665
- Practice address
- 1725 W Harrison St
Suite 1156
Chicago, IL 60612-3841 - Phone
- (312) 563-2716
- Fax
- (312) 563-4388
- NPI assigned
- Jul 29, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209012665 | IL | |
| Gerontology Nurse Practitioner | 363LG0600X | 209012665 | IL | |
| Nurse Practitioner | 363L00000X | 209012665 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Suite 1156
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Suite 1156
Chicago, IL 60612-3841
Phone (312) 563-2716
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150807013034 | IL | Practitioner - Nurse Practitioner | 6103130984 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209012665 | IL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Rush University Medical Center | Nurse Practitioner | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 161
Chicago, IL 60612
Phone (312) 942-4252
1725 W Harrison St
Ste 1156
Chicago, IL 60612
Phone (312) 563-2762
1725 W Harrison St
Ste 115
Chicago, IL 60612
Phone (312) 829-2540
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1725 W Harrison St
Ste 425
Chicago, IL 60612
Phone (312) 563-2558
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Interoperability endpoints
- lmunich161480@direct.luhs.org
- lmunich48193@direct.rush.rush-health.com
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.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1689165540
-
- Cardiovascular Disease Physician
- Chicago, IL
- NPI 1578584140
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1780069989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 1156",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-2716",
"fax_number": "312-563-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"address_2": "SUITE 1156",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-563-2716",
"fax_number": "312-563-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNICH",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-29",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209012665",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209012665",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209012665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.