Carly Quinten Bonica, in Northbrook, IL - Medicare Speech-Language Pathologist Provider

Carly Quinten Bonica, is a medicare enrolled "Speech-language Pathologist" provider in Northbrook, Illinois. Her current practice location is 5 Revere Drive, One Northbrook Place Suite 200, Northbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (512) 377-6318.

Carly Quinten Bonica is licensed to practice in Illinois (license number 146.016329) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780344135.

Contact Information

	Carly Quinten Bonica,
	5 Revere Drive, One Northbrook Place Suite 200, Northbrook, IL 60062-8000
	(512) 377-6318
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Quinten Bonica
Gender	Female
Speciality	Speech-language Pathologist
Location	5 Revere Drive, One Northbrook Place Suite 200, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780344135
Provider Enumeration Date: 12/27/2021
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 1456884436
Enrollment ID: I20241029003567

Medical Identifiers

Medical identifiers for Carly Quinten Bonica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780344135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	120561 (Texas)	Secondary
235Z00000X	Speech-language Pathologist	6174-154 (Wisconsin)	Secondary
235Z00000X	Speech-language Pathologist	2023006211 (Missouri)	Secondary
235Z00000X	Speech-language Pathologist	1024580 (Minnesota)	Secondary
235Z00000X	Speech-language Pathologist	1001447229 (Wisconsin)	Secondary
235Z00000X	Speech-language Pathologist	2483958 (Illinois)	Secondary
235Z00000X	Speech-language Pathologist	146.016329 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Quinten Bonica allows following entities to bill medicare on her behalf.

Provider Name	Expressable Speech-language Pathology Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220308002645

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Quinten Bonica is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Carly Quinten Bonica, 825 N Harvard Ave, Arlington Heights, IL 60004-5223 Ph: (708) 941-9996	Carly Quinten Bonica, 5 Revere Drive, One Northbrook Place Suite 200, Northbrook, IL 60062-8000 Ph: (512) 377-6318

Reviews and Comments

Speech-Language Pathologist in Northbrook, IL

Mr. Jeffrey Michael Stepen, MS Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2407 Illinois Rd, Northbrook, IL 60062 Phone: 847-361-8808 Fax: 847-919-3940
Lauren Kantor, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 605 Academy Dr, Northbrook, IL 60062 Phone: 847-480-8890
Jody Miller, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 255 Revere Dr, Northbrook, IL 60062 Phone: 847-412-4350
Brian Teplitz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2365 Waukegan Rd Apt 3d, Northbrook, IL 60062 Phone: 847-380-6743
Jill Elizabeth Rabin, M.S. CCC-SLP/L IBCLC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2890 Koepke Rd, Northbrook, IL 60062 Phone: 847-564-3330 Fax: 847-272-4978
Amy B Dogadko, MA-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1320 Wessling Dr, Northbrook, IL 60062 Phone: 847-559-9693
Mrs. Shelley C Thurber, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2729 Longmeadow Dr, Northbrook, IL 60062 Phone: 847-564-1336

Carly Quinten Bonica, - Medicare Speech-Language Pathologist in Northbrook, IL