Chicago Monticello Medical Ctr
Chicago Monticello Medical Ctr is a Non-Pharmacy Dispensing Site in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
3623 W Chicago AveChicago, IL 60651-3934
Phone: (773) 722-6171
Fax: (773) 722-7913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X (IL) |
|---|
Record details
| NPI number | 1447265053 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Earley — Md · (773) 722-6171 |
| Other names | Michael W Early Md |
| NPI enumerated | July 30, 2006 |
| Last updated in NPPES | November 19, 2007 |
| Mailing address | 3623 W Chicago Ave, Chicago, IL 60651-3934 |
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