Individual
DR. TRACY LALUMA MONTESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
2220 W MAYPOLE AVE UNIT 302, CHICAGO, IL 60612-2342
(630) 550-6594
Taxonomy
Speciality
Code
Description
License number
State
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
209019180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000000000
N/A
—
Enumeration date
08/28/2019
Last updated
08/28/2019
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