NPI 1407195639

Manuel Raul Montez, MD

Practitioner Forensic Pathology Physician Lake Forest, IL

Practice location

Address: 1261 Oak Knoll Dr, Lake Forest, IL 60045-3665
Phone: (847) 337-4752

Registered specialties

Forensic Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 036115314 (IL)

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Registry record

NPI: 1407195639
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2013
Record last updated: 7 Feb 2013

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.