Individual
MANUELA MONTOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
464 GREGORY AVE APT 1D, GLENDALE HEIGHTS, IL 60139-2352
(224) 717-2918
Mailing address
464 GREGORY AVE APT 1D, GLENDALE HEIGHTS, IL 60139-2352
(224) 717-2918
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.020545
IL
363LF0000X
Family Nurse Practitioner
209020545
IL
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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