Individual
DR. ANDRETTI MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
561 W DIVERSEY PKWY STE 221, CHICAGO, IL 60614-1682
(864) 401-2113
Mailing address
3550 N LAKE SHORE DR APT 2220, CHICAGO, IL 60657-7869
(864) 401-2113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013588
IL
Other
Enumeration date
12/27/2020
Last updated
01/28/2021
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