Individual
RICHARD MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
(773) 395-4633
Mailing address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
(773) 395-4633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.003816
IL
Other
Enumeration date
07/26/2010
Last updated
07/18/2016
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