MEDICARE: DR. MONICA E. MARONEY D.C., D.I.C.C.P.

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	111N00000X	Chiropractor	3821-012	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-3713163	OTHER	WI	FEDERAL ID NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467552745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONICA E. MARONEY D.C., D.I.C.C.P.

Provider Business Mailing Address
First Line	:	4433 N OAKLAND AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-1611
Country	:	US
Telephone Number	:	414-962-5483
Fax Number	:	414-962-5482

Provider Business Practice Location Address
First Line	:	4433 N OAKLAND AVE
Second Line	:
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-1611
Country	:	US
Telephone Number	:	414-962-5483
Fax Number	:	414-962-5482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	07/26/2010

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