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Johanna Carolina Montoya Castillo, PA-C
Medical Physician Assistant in Chicago, Illinois
NPI 1205348976

Johanna Carolina Montoya Castillo is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Johanna Carolina Montoya Castillo practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Johanna Carolina Montoya Castillo is 1205348976 and holds a License No. 085006409 (Illinois).

The current practice location address for Johanna Carolina Montoya Castillo is 2355 S Western Ave, Chicago, IL and can be reached out via phone at 773-254-1400.

Location: 2355 S Western Ave, Chicago, IL, 60608-4511
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Provider Profile Details
NPI Number
1205348976
Provider Name
Johanna Carolina Montoya Castillo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2355 S Western Ave, Chicago, IL, 60608-4511
Phone Number
773-254-1400
Fax Number
Provider Enumeration Date
11/02/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 IL
institution
Provider Business Practice Location Address Details
Address
2355 S Western Ave
City
State
Zip
60608-3837
Phone Number
773-254-1400
Fax Number
person
Provider Business Mailing Address Details
Address
2355 S Western Ave
City
State
Zip
60608-3837
Phone Number
773-254-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085006409 (Illinois)
Definition
Definition to come...
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