Organization
MONTESANO PSYCHOLOGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIARA MONTESANO (PSYCHOLOGIST)
(269) 548-9700
Entity
Organization
Contact information
Practice address
27135 W WILMOT RD, ANTIOCH, IL 60002-9165
(269) 548-9700
Mailing address
27135 W WILMOT RD, ANTIOCH, IL 60002-9165
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
02/13/2023
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