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Individual

DIANA CARLEN MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
814 COMMERCE DR STE 100, OAK BROOK, IL 60523-8822
(630) 526-4170
Mailing address
5825 W WALTON ST, CHICAGO, IL 60651-2542
(773) 747-1924

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
11/21/2024
Last updated
11/21/2024
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