DR. MONICA J. FUDALA (NPI# 1083993430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083993430 |
| Entity Type | Individual |
| Full Name | DR. MONICA J. FUDALA |
| Credential | M.D. |
| Practice Address |
820 Summit St # B4 Elgin IL 60120 |
| Mailing Address |
820 Summit St # B4 Elgin IL 60120-4316 |
| Practice Telephone | 8473067093 |
| Mailing Telephone | 8473067093 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.135576 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 820 Summit St # B4, Elgin, IL 601204316 | 8473067093 |
| Street Address |
820 SUMMIT ST # B4 |
| City | ELGIN |
| State | IL |
| Zip Code | 60120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932536703 | Danbee Kwon | Nurse Practitioner | 820 Summit St # B4, Elgin, IL 60120-4316 | 2013-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| 1043536733 | Catholic Charities - Diocese of Rockford, Il. | Foster Care Agency | 40 Dupage Ct. - Suite 400, Elgin, IL 60120 | 2010-04-20 |
| Find all providers in zip 60120 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945436 | Taneya Khalid | Family Medicine | 1750 N Randall Rd Ste 110, Elgin, IL 60123-7900 | 2018-06-13 |
| 1326531682 | David Charles Fisher Md LLC | Family Medicine | 566 Spears Creek Church Rd Ste 102b, Elgin, SC 29045-8128 | 2018-06-12 |
| 1992044044 | Christie Arnold Leal | Family Medicine | 7939 Us Hwy 277, Elgin, OK 73538 | 2013-02-10 |
| 1629331871 | Natalie Pagoria | Family Medicine | 1425 N Randall Rd # 2-1200, Elgin, IL 60123-2300 | 2012-06-22 |
| 1881955771 | Raffaella Sappe Betza | Family Medicine | 570 S 8th Ave, Elgin, OR 97827-9726 | 2012-06-06 |
| 1114156213 | Cheerag Patel | Family Medicine | 370 Summit St., Elgin, IL 60120 | 2009-07-09 |
| 1255484028 | Leo G. Pepa, M.d.,ltd. | Family Medicine | 2425 Rpyal Blvd, Suite 200, Elgin, IL 60123-2507 | 2007-01-18 |
| 1649359969 | Elgin Care Center Sc | Family Medicine | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2006-11-06 |
| 1760566293 | Lewis J Litwack | Family Medicine | 7936 Us Hwy 277, Elgin, OK 73538 | 2006-10-24 |
| 1184705477 | Antelope Memorial Hospital | Family Medicine | 101 West Cedar St, Elgin, NE 68636-4490 | 2006-10-17 |
| Find all providers in ELGIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.