DR. OTTO R GARCIA MONTENEGRO (NPI# 1790773992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790773992 |
| Entity Type | Individual |
| Full Name | DR. OTTO R GARCIA MONTENEGRO |
| Credential | M.D. |
| Practice Address |
2004 N Pulaski Rd Chicago IL 60639-3767 |
| Practice Telephone | 7737728876 |
| Practice Fax Number | 7732523091 |
| Mailing Telephone | 7737728876 |
| Mailing Fax Number | 7732523091 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036098564 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036098564 | 05 |
| Street Address |
2004 N PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568579 | Guidance Treatment LLC Center | Psychiatry & Neurology | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2020-04-29 |
| 1366840415 | Logan Square Urgent Care Center Corporation | Surgery | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2014-12-05 |
| 1578960282 | Urgent Medical Center Sc | Obstetrics & Gynecology | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2014-11-24 |
| 1407194400 | Tatjana Pavlovic M.d. | Ophthalmology | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2013-01-25 |
| 1831435544 | Pain Treatment Center of Chicago | Pain Medicine | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2012-12-27 |
| 1902140072 | Mercy J Kolenchery | Nurse Practitioner | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2012-11-15 |
| 1679832653 | R. L. Dental Associates, P. C. | Dentist | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2012-05-10 |
| 1144516535 | Urgent Care Medical Service Corporation | Clinic/Center | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2011-06-23 |
| 1649581471 | Najat Shaba George | Family Medicine | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2010-06-26 |
| 1891018412 | Rasheed Sharifa | Pharmacist | 2004 N Pulaski Rd, Chicago, IL 60639-3767 | 2010-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.