Healthcare Provider Details

I. General information

NPI: 1699680124
Provider Name (Legal Business Name): GABRIELA L MONREAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E HURON ST UNIT 4B
CHICAGO IL
60611-5244
US

IV. Provider business mailing address

40 E HURON ST UNIT 4B
CHICAGO IL
60611-5244
US

V. Phone/Fax

Practice location:
  • Phone: 773-377-5577
  • Fax:
Mailing address:
  • Phone: 773-377-5577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.130426
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: