Healthcare Provider Details

I. General information

NPI: 1962024570
Provider Name (Legal Business Name): ALLYSON GUZMAN MONELLI APRN, FNP-BC, FPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

IV. Provider business mailing address

2214 HUNTINGTON DR N
ALGONQUIN IL
60102-4419
US

V. Phone/Fax

Practice location:
  • Phone: 224-348-7981
  • Fax: 224-304-0149
Mailing address:
  • Phone: 224-348-7981
  • Fax: 224-607-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number041420041
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: