Individual
MRS. CAROLINE M MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AVED - CERTIFIED
Contact information
Practice address
301 N 8TH ST, SUITE PAV 5B, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-7386
Mailing address
301 N 8TH ST, PO BOX 19662, SPRINGFIELD, IL 62701-1041
(217) 545-8000
(217) 545-7386
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
06/17/2015
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