Individual provider Active NPI

Mona Clor, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1932182003
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036109727 Issued in IL
Practice address
180 N Michigan Ave Ste 1720
Chicago, IL 60601-7417
Phone
(312) 994-3000
NPI assigned
Nov 22, 2005
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 Medicine Physician 207Q00000X 036109727 IL Primary

Addresses

Primary practice location

180 N Michigan Ave Ste 1720
Chicago, IL 60601-7417

Mailing address

180 N Michigan Ave Ste 1605
Chicago, IL 60601-7478
Phone (312) 201-1234

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000816 IL Practitioner - Family Practice 4688571821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Avenue Immediate CareGroup PAC ID 9436296076, 4 clinicians
Michigan Avenue Primary Care SCGroup PAC ID 4385898865, 3 clinicians

Practice addresses (Care Compare)

180 N Michigan Ave
Suite 1605
Chicago, IL 60601-7478
Phone (312) 201-1234

180 N Michigan Ave
Suite 1720
Chicago, IL 60601-7417
Phone (312) 994-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036109727ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Avenue Primary Care, S.C. Family Medicine CurrentSince Nov 15, 2023 Accepting new patients
Michigan Avenue ENT P.C. Current Accepting new patients
Michigan Avenue Immediate Care Family Medicine CurrentSince Nov 15, 2023 Accepting new patients
Vpa PC Family Medicine Past Accepting new patients

Locations

180 N Michigan Ave
Ste 1605
Chicago, IL 60601
Phone (312) 201-1234

180 N Michigan Ave
Ste 1720
Chicago, IL 60601
Phone (312) 994-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1932182003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1605",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017478",
            "telephone_number": "312-201-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE STE 1720",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017417",
            "telephone_number": "312-994-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOR",
        "first_name": "MONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036109727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.