Individual
DANIEL MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 W 162ND ST, SOUTH HOLLAND, IL 60473-2003
(708) 730-2200
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-081324
IL
Other
Enumeration date
07/31/2006
Last updated
12/10/2022
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