Dr. Otto R Garcia Montenegro, M.D.
Internal Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1790773992
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1790773992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Otto R Garcia Montenegro
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2005
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036098564 | IL | Yes |
Practice location
2004 N Pulaski RdChicago, IL 60639-3767
Phone 773-772-8876 · Fax 773-252-3091
Mailing address
2004 N Pulaski RdChicago, IL 60639-3767
Phone 773-772-8876 · Fax 773-252-3091
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