Provider Demographics
NPI:1669366258
Name:RUBIO MONTIEL, MARIA D (LAC, DIPL OM)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:D
Last Name:RUBIO MONTIEL
Suffix:
Gender:F
Credentials:LAC, DIPL OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3607 W LELAND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-6423
Mailing Address - Country:US
Mailing Address - Phone:773-814-0035
Mailing Address - Fax:
Practice Address - Street 1:5348 N CLARK ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-4398
Practice Address - Country:US
Practice Address - Phone:773-565-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.001684171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist