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General NPI Number Information
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NPI Number | 1093031650
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Entity Type | Individual
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Provider Name | DEEPA BHATT MONTOYA DPM
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 05/18/2025
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Provider Practice Location Address
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Address Line | 2501 COMPASS RD STE 120
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City | GLENVIEW
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State | IL
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Zip | 60026-8000
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Country | US
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Telephone | 847-729-9580
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Fax | 847-729-9480
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Provider Business Mailing Address
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Address Line | 9400 S CICERO AVE STE 100
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City | OAK LAWN
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State | IL
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Zip | 60453-2536
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Country | US
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Telephone | 708-424-3201
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Fax | 708-424-5001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016005589
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License Number State | IL
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