Organization
OTTO R GARCIA MONTENEGRO MD INC
Active
Organization
OTTO R GARCIA MONTENEGRO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTTO R GARCIA MONTENEGRO MD (PRESIDENT)
(708) 345-4554
Entity
Organization
Contact information
Practice address
1119 N 25TH AVE STE D, MELROSE PARK, IL 60160-3068
(708) 345-4554
(708) 345-5253
Mailing address
1119 N 25TH AVE STE D, MELROSE PARK, IL 60160-3068
(708) 345-4554
(708) 345-5253
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
IL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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