MEDICARE: ANDRES RICARDO MONCEBAIZ LSW

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	104100000X	Social Worker	150106840	IL

General Provider Information

NPI Number	:	1538004759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRES RICARDO MONCEBAIZ LSW

Provider Business Mailing Address
First Line	:	2930 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4308
Country	:	US
Telephone Number	:	872-817-9858
Fax Number	:

Provider Business Practice Location Address
First Line	:	2930 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-4308
Country	:	US
Telephone Number	:	872-817-9858
Fax Number	:

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

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

Similar Medicare Providers

1790409399 — MICHELLE CRUZ
Practice Location Address:

2930 W GRAND AVE
CHICAGO, IL
60622-4308

Practice Phone: 872-817-9858
Practice Fax:

1699619213 — RENITA WILLIAMS LPC
Practice Location Address:

2930 W GRAND AVE
CHICAGO, IL
60622-4308

Practice Phone: 773-704-5107
Practice Fax:

1487598439 — YULA ESTHER SUNG
Practice Location Address:

2930 W GRAND AVE
CHICAGO, IL
60622-4308

Practice Phone: 872-817-9858
Practice Fax:

1154556413 — MR. ABRAHAM JACOB SAENZ B.A.
Practice Location Address:

4308 W 55TH ST , 2ND FL
CHICAGO, IL
60632-4628

Practice Phone: 312-451-4814
Practice Fax:

1427353432 — MR. DANIEL P CONNERS LCSW
Practice Location Address:

4308 N KENMORE AVE , UNIT 2N
CHICAGO, IL
60613-1327

Practice Phone: 773-307-2541
Practice Fax:

1851633598 — KATHRYN RAY D.C.
Practice Location Address:

4308 N LINCOLN AVE
CHICAGO, IL
60618-1753

Practice Phone: 773-340-2225
Practice Fax:

Directions to “ ANDRES RICARDO MONCEBAIZ LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.