Individual
DR. HEDELITA S MONTENEGRO-YANEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4039 W ARMITAGE AVE, CHICAGO, IL 60639
(773) 227-2040
(773) 227-1210
Mailing address
4039 W ARMITAGE AVE, CHICAGO, IL 60639
(773) 227-2040
(773) 227-1210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036054607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054607
—
IL
Enumeration date
12/04/2006
Last updated
03/01/2017
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