Individual
GREGORY MONTECLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5040 WARREN ST APT 306, SKOKIE, IL 60077-2913
(310) 691-4858
Mailing address
5040 WARREN ST APT 306, SKOKIE, IL 60077-2913
(310) 691-4858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006375
IL
Other
Enumeration date
02/12/2015
Last updated
05/05/2022
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