Organization
CHICAGO LASER VEIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO MONTOYA MD (OWNER)
(312) 560-1150
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 110, CHICAGO, IL 60622-2717
(773) 489-3795
(773) 489-3947
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
IL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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