Individual
GLENN AGAPE EDILLOR MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARN, PMHNP-BC
Contact information
Practice address
141 MARKET PL STE 100, FAIRVIEW HEIGHTS, IL 62208-2089
(618) 398-4226
Mailing address
27 OAK KNOLL PL, BELLEVILLE, IL 62223-1880
(815) 919-0054
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023062070
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209028943
IL
Other
Enumeration date
09/13/2023
Last updated
09/15/2025
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