Provider Demographics
NPI:1205960143
Name:TERLEP, MONICA CHRISTINA (MS CCC A)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:CHRISTINA
Last Name:TERLEP
Suffix:
Gender:F
Credentials:MS CCC A
Other - Prefix:MRS
Other - First Name:MONICA
Other - Middle Name:CHRISTINA
Other - Last Name:MYRDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC A
Mailing Address - Street 1:7447 W TALCOTT
Mailing Address - Street 2:SUITE 316
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631
Mailing Address - Country:US
Mailing Address - Phone:773-467-1285
Mailing Address - Fax:866-777-2159
Practice Address - Street 1:7447 W TALCOTT
Practice Address - Street 2:SUITE 316
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631
Practice Address - Country:US
Practice Address - Phone:773-467-1285
Practice Address - Fax:866-777-2159
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147 001144231H00000X, 237600000X
IL231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
930640Medicare UPIN
K16427Medicare UPIN
F400139168Medicare PIN