Provider Demographics
NPI:1629694278
Name:MONTES PSYCHIATRIC CENTER, P.C.
Entity Type:Organization
Organization Name:MONTES PSYCHIATRIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:MONTES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-839-8180
Mailing Address - Street 1:6090 STRATHMOOR DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-5200
Mailing Address - Country:US
Mailing Address - Phone:815-839-8180
Mailing Address - Fax:815-839-8290
Practice Address - Street 1:6090 STRATHMOOR DR STE 1
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-5200
Practice Address - Country:US
Practice Address - Phone:815-839-8180
Practice Address - Fax:815-839-8290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty