Provider Demographics
NPI:1154492551
Name:MONT-LOUIS, EMELIDE (MD)
Entity Type:Individual
Prefix:DR
First Name:EMELIDE
Middle Name:
Last Name:MONT-LOUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 N MAIN ST APT 312
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53402-2885
Mailing Address - Country:US
Mailing Address - Phone:773-469-7507
Mailing Address - Fax:
Practice Address - Street 1:4240 N MAIN ST APT 312
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53402-2885
Practice Address - Country:US
Practice Address - Phone:773-469-7507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program