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NPI Code Detail

MEDICARE: MARCOS MONTES

MEDICARE: MARCOS MONTES
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1659115889
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS MONTES
Provider Business Mailing Address
First Line : 1528 N CENTRAL PARK AVE APT 1
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2102
Country : US
Telephone Number : 773-717-9776
Fax Number :
Provider Business Practice Location Address
First Line : 1431 N CLAREMONT AVE FL 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1702
Country : US
Telephone Number : 312-633-5890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 02/20/2026

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Directions to “ MARCOS MONTES ” Practice Location

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