Individual
JUAN F VARGAS-MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1945 W WILSON AVE, SUITE 2113, CHICAGO, IL 60640-5255
(773) 784-0851
(773) 769-3431
Mailing address
PO BOX 798, PARK RIDGE, IL 60068-0798
(847) 692-6218
(847) 692-5609
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-048889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048889
—
IL
Enumeration date
07/19/2006
Last updated
04/06/2011
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