Individual
BERNADETTE MONTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12644 S MANISTEE AVE, CHICAGO, IL 60633-1116
(773) 621-9692
Mailing address
12644 S MANISTEE AVE, CHICAGO, IL 60633-1116
(773) 621-9692
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0000
IL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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