Individual
LEIDHY MARIANA MONTECINOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
241 W WEAVER RD STE 210, FORSYTH, IL 62535-9769
(217) 876-5600
(217) 876-5664
Mailing address
241 W WEAVER RD STE 210, FORSYTH, IL 62535-9769
(217) 876-5600
(217) 876-5664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036175298
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
11/19/2025
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