Search › Illinois › 374J00000X
Charisse Montgomery
NPI 1942873617 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1274 Baybrook Ct
Belleville, IL 62221 - Phone
- (618) 250-7792
Additional practice sites
- 50 Northgate Industrial Dr, Granite City, IL
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-04
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