MONICA CONNELLY


Address: 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402
Phone: 3124816811

MONICA CONNELLY (NPI# 1417418914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417418914
Entity Type Individual
Full Name MONICA CONNELLY
Other Name MONICA SIMONSON
Credential MSW, CADC
Practice Address 800 N Lake Shore Dr Ste 800
Chicago
IL 60611-2402
Practice Telephone 3124816811
Mailing Telephone 3124816811
Enumeration Date 2019-03-27
Last Update Date 2019-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
33773 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CERTIFIED ALCOHOL AND DRUG ABUSE COUNSELOR 33773 01

Office Location

Street Address 800 N LAKE SHORE DR STE 800
City CHICAGO
State IL
Zip Code 60611-2402

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669071932 Euginia Ivanova Counselor 3410 W. Roosevelt Rd, Chicago, IL 60624 2020-10-19
1073127775 Deborah Lynn Dettman Counselor 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 2020-09-01
1538705793 Andrew W Rintels Counselor C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 2019-11-22
1710528518 Gateway Professional Services, PC Counselor 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 2019-10-02
1801447552 Erika Chawla Counselor 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 2019-09-24
1336790310 Robert J Smith Counselor 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 2019-09-22
1255997987 Austin Hall Counselor 2942 W Lake St, Chicago, IL 60612-1924 2019-05-17
1336608439 Columbus Manor Counselor 5107 W Jackson Blvd, Chicago, IL 60644-4316 2019-03-18
1972062958 Patricia B Flaherty Counselor 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 2019-03-18
1467910620 Lauren Mccrary Counselor 225 W Washington St Ste 200, Chicago, IL 60606-3483 2019-03-06
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Competitor

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City CHICAGO
Zip Code 60611

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Dataset Information

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.

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