Healthcare Provider Details

I. General information

NPI: 1336829241
Provider Name (Legal Business Name): ANJELICA CARMEL MARANAN MONTERO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10705 RUTH RD
HUNTLEY IL
60142-7156
US

IV. Provider business mailing address

10734 SAXONY ST
HUNTLEY IL
60142-2526
US

V. Phone/Fax

Practice location:
  • Phone: 847-802-4866
  • Fax: 847-939-1393
Mailing address:
  • Phone: 847-971-5981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.013666
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: