Provider Demographics
NPI:1093031650
Name:MONTOYA, DEEPA BHATT (DPM)
Entity type:Individual
Prefix:
First Name:DEEPA
Middle Name:BHATT
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 COMPASS RD STE 120
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8000
Mailing Address - Country:US
Mailing Address - Phone:847-729-9580
Mailing Address - Fax:847-729-9480
Practice Address - Street 1:2501 COMPASS RD STE 120
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8000
Practice Address - Country:US
Practice Address - Phone:847-729-9580
Practice Address - Fax:847-729-9480
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016005589213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist