Individual
MARY ELIZABETH MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2180 PFINGSTEN RD, GLENVIEW, IL 60026-1339
(773) 316-6026
Mailing address
5101 N NORDICA AVE, CHICAGO, IL 60656-3605
(733) 166-0267
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.023079
PT LICENSE
IL
Enumeration date
06/17/2022
Last updated
06/17/2022
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