Montero, Glenn Agape Edillor

Montero, Glenn Agape Edillor is an individual health care provider with primary practice located at 1603 Orrington Avenue Suite 810, Evanston IL 60201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Montero, Glenn Agape Edillor can be contacted via phone (888) 279-0002.

Contact Information

Primary practice address
1603 Orrington Avenue Suite 810 Evanston IL 60201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023062070 Missouri

Profile Details

NPI number 1124805189
LBN Legal business name Montero, Glenn Agape Edillor
Credentials MSN, ARN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 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.

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