Individual
DR. CHARNELL MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 LAKE ST, OAK PARK, IL 60301-1147
(708) 416-6475
Mailing address
1010 LAKE ST, OAK PARK, IL 60301-1147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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