Individual
EMMA MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
1742 W STONE AVE, ADDISON, IL 60101-1828
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041469215
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2098.0260260
IL
Other
Enumeration date
09/12/2022
Last updated
01/16/2023
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