Individual
MRS. GUILLERMINA MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5416 S KILBOURN AVE, CHICAGO, IL 60632-4730
(773) 983-4220
Mailing address
5416 S KILBOURN AVE, CHICAGO, IL 60632-4730
(773) 983-4220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002988
IL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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