Individual
MARIA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7821 S PAXTON AVE APT 3, CHICAGO, IL 60649-5063
(773) 820-2292
Mailing address
7821 S PAXTON AVE APT 3, CHICAGO, IL 60649-5063
(773) 820-2292
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041444492
IL
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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