Montalbano, Michele
Montalbano, Michele is an individual health care provider with primary practice located at 2197 Blackberry Dr Ste A , Geneva IL 60134-4713. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Montalbano, Michele can be contacted via phone (630) 365-2020.Contact Information
Primary practice address
2197 Blackberry Dr Ste A
Geneva IL 60134-4713
Phone: (630) 365-2020
Fax: (630) 365-9828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046-008820 | Illinois |
Profile Details
| NPI number | 1699855569 |
|---|---|
| LBN Legal business name | Montalbano, Michele |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699855569 | NPPES |
| Illinois | Other | IL6941001 | MEDICARE PTAN/ INDIVIDUAL |
| Illinois | Other | 04532352 | MEDICARE PTAN/ INDIVIDUAL |
| Illinois | Other | 1407043177 | MEDICARE PTAN/ INDIVIDUAL |
| Illinois | Other | IL6941 | MEDICARE PTAN/ INDIVIDUAL |
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