DR RICHARD MONCEBAIZ DCPC NPI 1396963500

NPI Information

NPI: 1396963500
Provider Name: DR RICHARD MONCEBAIZ DCPC

Doing Business As: MONCEBAIZ CHIROPRACTIC CENTRE

Classification: Clinic/Center - 261QC1800X
Entity Type: Organization

Specialization: Corporate Health

Address:
5623 W CERMAK RD
CICERO, IL
ZIP 60804
Phone: (708) 863-1001
Get Directions

DR RICHARD MONCEBAIZ DCPC is a corporate health clinic center in Cicero, IL. DR RICHARD MONCEBAIZ DCPC NPI is 1396963500. The provider is registered as an organization entity type.
The provider Is Doing Business As Moncebaiz Chiropractic Centre.

The provider's business location address is:

5623 W CERMAK RD
CICERO, IL
ZIP 60804-220
Phone: (708) 863-1001
Fax: (708) 863-2641

The provider's authorized official is Richard Moncebaiz .
The authorized official title is President and has the following contact phone number (708) 863-1001.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 12/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1800X	Clinic/Center	Corporate Health	060004777	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	773460	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE
2	01682747-34	OTHER	ILLINOIS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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