MEDICARE: MONIKA CACHRO PA-C

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	363A00000X	Physician Assistant	085.006643	IL

General Provider Information

NPI Number	:	1699248526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIKA CACHRO PA-C

Provider Business Mailing Address
First Line	:	PO BOX 746715
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6715
Country	:	US
Telephone Number	:	773-798-5200
Fax Number	:	708-741-1014

Provider Business Practice Location Address
First Line	:	4747 N HARLEM AVE
Second Line	:
City	:	HARWOOD HEIGHTS
State	:	IL
Zip	:	60706-4600
Country	:	US
Telephone Number	:	773-798-5200
Fax Number	:	708-741-1014

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

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	03/12/2026

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