Search › Illinois › 207P00000X
Michael Monticciolo, DO
NPI 1689914954 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1100 E Norris Dr
Ottawa, IL 61350 - Phone
- (815) 433-3100
- Fax
- (815) 433-0879
- Organisation at this address
- A D Tomas Md Ltd
Ottowa Imaging Llc
24 On Physicians, Pc
Community Hospital Of Ottawa
Community Hospital Of OttawaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 36475 Five Mile Rd, Livonia, MI
- 11700 N Meridian St, Carmel, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
390200000X - Licence states on file
- MI, IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois