CHICAGO MONTICELLO MEDICAL CTR NPI 1447265053

NPI Information

NPI: 1447265053
Provider Name: CHICAGO MONTICELLO MEDICAL CTR
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Doing Business As: MICHAEL W EARLY MD
Address: 3623 W CHICAGO AVE
CHICAGO, IL
ZIP 60651
Phone: (773) 722-6171

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NPI Details

CHICAGO MONTICELLO MEDICAL CTR is a non pharmacy dispensing site in Chicago, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) CHICAGO MONTICELLO MEDICAL CTR NPI is 1447265053. The provider is registered as an organization entity type.
The provider Is Doing Business As Michael W Early Md.

The provider's business location address is:

3623 W CHICAGO AVE
CHICAGO, IL
ZIP 60651-934
Phone: (773) 722-6171
Fax: (773) 722-7913

The provider's authorized official is Michael Earley .
The authorized official title is Md and has the following contact phone number (773) 722-6171.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1478723	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	1478723	OTHER		OTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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