Individual provider Active NPI

Bridget Monaghan, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1922300763
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011670 Issued in IL
Practice address
1300 E 47TH St
2ND FL
Chicago, IL 60653-4508
Phone
(773) 332-1123
Fax
(773) 332-1126
NPI assigned
Nov 30, 2010
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011670 IL Primary

Addresses

Primary practice location

1300 E 47TH St
2ND FL
Chicago, IL 60653-4508

Mailing address

PO Box 5977
Carol Stream, IL 60197-5977
Phone (630) 468-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118001313 IL Practitioner - Chiropractic 9830388115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2451 N Lincoln Ave
Suite 205
Chicago, IL 60614-2422
Phone (773) 394-4622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038011670ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back Home Chiropractic, S.C. Chiropractor CurrentSince Nov 1, 2014 Accepting new patients
Chiro Wellness Center Metro of Hyde Park LLC Chiropractor PastSince Sep 4, 2014 Accepting new patients

Locations

2451 N Lincoln Ave
Ste 205
Chicago, IL 60614
Phone (773) 394-4622

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.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1922300763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5977",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975977",
            "telephone_number": "630-468-1831",
            "fax_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 47TH ST",
            "address_2": "2ND FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534508",
            "telephone_number": "773-332-1123",
            "fax_number": "773-332-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "BRIDGET",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011670",
            "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 Nov 30, 2010; 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.