Mary Joyce Moncupa Malayba, ND
Individual provider Active NPI Naturopath · Chicago, IL
NPI 1972493682 · NPPES record last updated Jul 4, 2025
Key facts
- NPI
- 1972493682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 1158 (MN)
- Practice address
- 1733 W Irving Park Rd Ste 1
Chicago, IL 60613-2562 - Phone
- (773) 942-1574
- NPI assigned
- Jul 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1158 | MN | Yes |
Addresses
Primary practice location
1733 W Irving Park Rd Ste 1
Chicago, IL 60613-2562
Mailing address
3115 W Granville Ave
Chicago, IL 60659-2401
Phone (773) 942-1574
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.