Provider Demographics
NPI:1467853820
Name:LAURA A. MONTI PHD PSYD PC
Entity Type:Organization
Organization Name:LAURA A. MONTI PHD PSYD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD PSYD
Authorized Official - Phone:847-420-3375
Mailing Address - Street 1:720 CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-3354
Mailing Address - Country:US
Mailing Address - Phone:847-420-3375
Mailing Address - Fax:
Practice Address - Street 1:720 CIMARRON DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-3354
Practice Address - Country:US
Practice Address - Phone:847-420-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071006827103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty