Provider Demographics
NPI:1730341470
Name:HINER, MONICA CLARETTE (MS)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:CLARETTE
Last Name:HINER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:CLARETTE
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:2220 W BERTEAU AVE
Mailing Address - Street 2:#1W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2968
Mailing Address - Country:US
Mailing Address - Phone:312-899-6369
Mailing Address - Fax:773-937-9020
Practice Address - Street 1:2220 W BERTEAU AVE
Practice Address - Street 2:#1W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-2968
Practice Address - Country:US
Practice Address - Phone:312-899-6369
Practice Address - Fax:773-937-9020
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242000846235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist