Individual
MRS. COURTNEY LEE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13011 S 104TH AVE STE 100, PALOS PARK, IL 60464-1508
(708) 274-3278
Mailing address
9532 S HAMLIN AVE, EVERGREEN PARK, IL 60805-2029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209020129
IL
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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