Search › Illinois › 363AM0700X
Lacey Montgomery, PA-C
NPI 1639166796 · on the registry since 2005
Practice
- Address
- 5841 S Maryland Ave # Mc4028
Chicago, IL 60637 - Phone
- (773) 834-7136
- Clinicians at this address
- 81
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-21
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