Provider Demographics
NPI:1477987097
Name:MONTES, MARIA RHEENA BUENAVENTURA (PT)
Entity Type:Individual
Prefix:
First Name:MARIA RHEENA
Middle Name:BUENAVENTURA
Last Name:MONTES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MONARCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107
Mailing Address - Country:US
Mailing Address - Phone:630-272-7304
Mailing Address - Fax:
Practice Address - Street 1:305 MONARCH DR
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-3384
Practice Address - Country:US
Practice Address - Phone:630-272-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070014490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist