Individual provider · Type 1 NPI
Leidhy Mariana Montecinos, MD
Student in an Organized Health Care Education/Training Program · Forsyth, IL
NPI number
1336875392
Active
Practice location
241 W Weaver Rd Ste 210
Forsyth, IL 62535-9769
Fax (217) 876-5664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 036175298 (IL) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1336875392
Leidhy Mariana Montecinos, MD's National Provider Identifier is 1336875392, issued on Aug 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Forsyth, IL. The record was last updated on Nov 19, 2025.