MARYURI NICHOLE MONCADA
NPI 1174455190
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 02, 2026
801 S PAULINA ST RM 127, CHICAGO, IL 60612(312) 355-1641 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryuri Nichole Moncada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYURI NICHOLE MONCADA (NPI 1174455190) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1174455190
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARYURI NICHOLE MONCADA
Location Address801 S PAULINA ST RM 127Chicago, IL 60612-7210
Mailing Address801 S Paulina St Rm 127Chicago, IL 60612-7210
Sole ProprietorNo
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
NPI 1174455190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

801 S PAULINA ST RM 127, Chicago, IL 60612

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
801 S PAULINA ST RM 127
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174455190, enumerated as an "individual" on June 02, 2026.

The provider is located at 801 S PAULINA ST RM 127 CHICAGO, IL 60612 and the phone number is (312) 355-1641.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.