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Organization
MANUEL MONTES DE OCA MD PC
Active
Organization
MANUEL MONTES DE OCA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MONTES DE OCA MD (PHYSICIAN)
(561) 360-0503
Entity
Organization
Contact information
Practice address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
Mailing address
625 W MADISON ST APT 3711, CHICAGO, IL 60661-2747
(561) 360-0503
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
NULL
202K00000X
Phlebology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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