MS. LACEY MONTGOMERY, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1639166796

Practice Address

5841 S MARYLAND AVE # MC4028
Chicago, IL 60637

Phone: (773) 834-7136

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes -

Frequently Asked Questions

NPI 1639166796 is the National Provider Identifier for MS. LACEY MONTGOMERY, PA-C, a Physician Assistant - Medical provider located in Chicago, IL. This NPI was enumerated on October 4, 2005.
MS. LACEY MONTGOMERY, PA-C practices at 5841 S MARYLAND AVE # MC4028, Chicago, IL 60637.

Quick Facts

NPI
1639166796
Type
Individual
Enumerated
Oct 4, 2005
Last Updated
Aug 21, 2007

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