MEDICARE: MONROE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility		IL

General Provider Information

NPI Number	:	1225109564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONROE CORP

Provider Business Mailing Address
First Line	:	7257 N LINCOLN AVE
Second Line	:
City	:	LINCOLNWOOD
State	:	IL
Zip	:	60712-1810
Country	:	US
Telephone Number	:	847-933-2600
Fax Number	:	847-933-0686

Provider Business Practice Location Address
First Line	:	1400 W MONROE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2512
Country	:	US
Telephone Number	:	312-666-4090
Fax Number	:	312-421-0134

Authorized Official
Title or Position	:	MEDICARE MANAGER
Name	:	JOYCE RUDD
Credential	:
Telephone Number	:	847-933-2600

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	08/22/2020

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Directions to “MONROE CORP ” Practice Location

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