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
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 1

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

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 Care 4 clinicians
Michigan Avenue Primary Care SC 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

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036109727 IL Primary

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
036109727MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2024.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.