Gerardo Moncada, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013932 Issued in IL

Practice address

1117 Emerson St
Evanston, IL 60201-3131

Phone

(847) 869-1773

Fax

(847) 869-2733

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Body Chiropractic LTDGroup PAC ID 7416107891, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Active Body Chiropractic LTD

  • Chiropractor
  • Chicago, IL
  • NPI 1477582302
  Medicare reassignment Care Compare group NPD
• Wellness Revolution Lakeview LLC

  dba The Wellness Revolution Chiropractic and Acupuncture Center

  • Chiropractor
  • Chicago, IL
  • NPI 1063920916
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1902515562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "847-869-1773",
            "fax_number": "847-869-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 EMERSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013131",
            "telephone_number": "847-869-1773",
            "fax_number": "847-869-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCADA",
        "first_name": "GERARDO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly K. McAfee, MD, SC
• Daphne Kimberly Moloney, MD
• Mary Molyneaux, LCSW
• Peter Monaghan, DDS
• Kathleen Leigh Monahan, PSYCHOLOGIST
• Alison Marie Monge, PA-C
• Clare Monhart
• Monica Garcia Counseling Services PLLC
• Barbara L. Monier, L.C.S.W.
• Dale Gordon Monroe-Cook, PH.D.

• Chiropractor in Evanston, IL
• Providers in Evanston, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.