Individual
DR. THERESA E MONTOYA-HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(217) 255-9646
(217) 326-1777
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036117394
IL
207R00000X
Internal Medicine Physician
036117394
IL
207R00000X
Internal Medicine Physician
200101375
NC
207R00000X
Internal Medicine Physician
65030
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12922
BCBS OF NC
NC
Enumeration date
05/25/2006
Last updated
07/21/2022
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