Individual
JAZMIN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
16660 PAXTON AVE, SOUTH HOLLAND, IL 60473-2633
(708) 516-7968
Mailing address
16660 PAXTON AVE, SOUTH HOLLAND, IL 60473-2633
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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