NPI 1447265053
Chicago Monticello Medical Ctr
Practice location
- Address
- 3623 W Chicago Ave, Chicago, IL 60651-3934
- Phone
- (773) 722-6171
- Fax
- (773) 722-7913
Authorised official
- Name
- Michael Earley
- Title
- MD
- Phone
- (773) 722-6171
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1447265053
- Entity type
- Organization
- NPI issued
- 30 Jul 2006
- Record last updated
- 19 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.