| Montesano Psychological Center | |
|
27135 W Wilmot Rd Antioch IL 60002-9165 | |
| (269) 548-9700 | |
| Not Available |
| Full Name | Montesano Psychological Center |
|---|---|
| Speciality | Psychologist |
| Location | 27135 W Wilmot Rd, Antioch, Illinois |
| Authorized Official Name and Position | Liara Montesano (PSYCHOLOGIST) |
| Authorized Official Contact | 2695489700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montesano Psychological Center 27135 W Wilmot Rd Antioch IL 60002-9165 Ph: () - | Montesano Psychological Center 27135 W Wilmot Rd Antioch IL 60002-9165 Ph: (269) 548-9700 |
| NPI Number | 1831834175 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831834175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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