| Doug Monteith M.d., S.c. Inc | |
|
2740 W Foster Ave #401 Chicago IL 60625-3500 | |
| (773) 907-3060 | |
| (773) 907-3061 |
| Full Name | Doug Monteith M.d., S.c. Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2740 W Foster Ave, Chicago, Illinois |
| Authorized Official Name and Position | Doug Alan Monteith (PRESIDENT) |
| Authorized Official Contact | 7739073060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doug Monteith M.d., S.c. Inc 2740 W Foster Ave #417 Chicago IL 60625-3500 Ph: (773) 907-3060 | Doug Monteith M.d., S.c. Inc 2740 W Foster Ave #401 Chicago IL 60625-3500 Ph: (773) 907-3060 |
| NPI Number | 1376616961 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376616961 | NPI | - | NPPES |
| 01633446 | Other | IL | BLUE SHIELD PROVIDER # |
| P00023316 | Other | IL | RR MEDICARE PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
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