Individual
MRS. KATHRYN ANNE MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4050
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-4060
(630) 208-4401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
20900165
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
968520
TAX ID
IL
Enumeration date
10/03/2006
Last updated
12/08/2021
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