Individual
ERICA MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
80 TEMPLETON DR, OSWEGO, IL 60543-7000
(630) 264-8440
Mailing address
5147 W 64TH PL, CHICAGO, IL 60638-5736
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002552
IL
Other
Enumeration date
12/22/2021
Last updated
02/20/2025
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