Individual
MONIQUE A CHILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Mailing address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
12/12/2024
Last updated
04/03/2026
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