Provider Demographics
NPI:1043860489
Name:MONARCH CLINICS, P.C.
Entity Type:Organization
Organization Name:MONARCH CLINICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:MARQUEZ
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-589-0131
Mailing Address - Street 1:2100 MANCHESTER RD STE 1080D
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4794
Mailing Address - Country:US
Mailing Address - Phone:630-589-0131
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 1080D
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4794
Practice Address - Country:US
Practice Address - Phone:630-589-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty