Healthcare Provider Details
I. General information
NPI: 1154160877
Provider Name (Legal Business Name): MONICA ARGUMEDO, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 W TALCOTT RD STE 33
PARK RIDGE IL
60068-5559
US
IV. Provider business mailing address
350 S NORTHWEST HWY STE 300
PARK RIDGE IL
60068-4262
US
V. Phone/Fax
- Phone: 224-344-1288
- Fax: 224-228-3024
- Phone: 847-656-5349
- Fax: 847-656-5201
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084F0202X |
| Taxonomy | Forensic Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MONICA
M
ARGUMEDO
Title or Position: OWNER
Credential: MD
Phone: 847-656-5349