Provider Demographics
NPI:1669165650
Name:ARREGUIN MONTOYA, JUANA (CPM, LMT)
Entity type:Individual
Prefix:
First Name:JUANA
Middle Name:
Last Name:ARREGUIN MONTOYA
Suffix:
Gender:F
Credentials:CPM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-3536
Mailing Address - Country:US
Mailing Address - Phone:847-903-5383
Mailing Address - Fax:
Practice Address - Street 1:2018 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-3536
Practice Address - Country:US
Practice Address - Phone:847-903-5383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL227.022091225700000X
374J00000X
IL295.000015176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula