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NPI Code Detail

MEDICARE: CATHERINE M MONTALBANO MD

MEDICARE: CATHERINE M MONTALBANO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician036092722IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285652636
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE M MONTALBANO MD
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 450 W IL ROUTE 22
Second Line :
City : BARRINGTON
State : IL
Zip : 60010-1919
Country : US
Telephone Number : 847-842-4191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/12/2026

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