Organization
MANUEL MONTES DE OCA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MONTES DE OCA MD (PHYSICIAN)
(561) 360-0503
Entity
Organization
Contact information
Practice address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 395-4600
Mailing address
625 W MADISON ST APT 3711, CHICAGO, IL 60661-2747
(561) 360-0503
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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