Individual
DR. MICHELLE C MONTPETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N WINFIELD RD STE 500, WINFIELD, IL 60190-1379
(630) 232-2800
(630) 933-3626
Mailing address
25 N WINFIELD RD STE 500, WINFIELD, IL 60190-1379
(630) 232-2800
(630) 933-3626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-102528
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
036102528
IL
207RC0000X
Cardiovascular Disease Physician
036102528
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102528
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147054
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
11/07/2006
Last updated
08/05/2024
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