Individual
MARC MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 LINDEN AVE, OAK PARK, IL 60302-1243
(312) 961-4894
(708) 383-6948
Mailing address
1108 LINDEN AVE, OAK PARK, IL 60302-1243
(312) 961-4894
(708) 383-6948
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
11/14/2014
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