Dr. Bruce J Montella
Orthopaedic Spine Surgeon
901 Biesterfield Rd Suite 300
Elk Grove Village
, Illinois 60007-3392
Dr. Bruce J Montella
Orthopaedic Spine Surgeon
901 Biesterfield Rd Suite 300
Elk Grove Village
, Illinois 60007-3392
(847) 437-4149
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bruce J Montella
- Po Box 807
- Elk Grove Village, IL
- Zip : 60009-0807
- Fax : (847) 437-4149
- Phone : (847) 437-9889
Second Address
- Dr. Bruce J Montella
- 901 Biesterfield Rd Suite 300
- Elk Grove Village, IL
- Zip : 60007-3392
- Fax : (847) 437-4149
- Phone : (847) 437-9889
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | IL |
National Provider Identifier
| NPI | 1134129091 |
|---|---|
| Provider Name | Dr. Bruce J Montella |
| First Address | Elk Grove Village, IL 60009-0807 |
| Second Address | Elk Grove Village, IL 60007-3392 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2005 |
| Last Update Date | 14/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31603457 | BLUE CROSS BLUE SHIELD # (01) | IL |
| G42366 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.