Montgomery, Paul
Montgomery, Paul is an individual health care provider with primary practice located at 4440 W 95Th St Dept Of , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Montgomery, Paul can be contacted via phone (708) 684-5503.Contact Information
Primary practice address
4440 W 95Th St Dept Of
Oak Lawn IL 60453-2600
Phone: (708) 684-5503
Fax: (708) 684-2675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 152482 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036-148104 | Illinois |
Profile Details
| NPI number | 1093799157 |
|---|---|
| LBN Legal business name | Montgomery, Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Dec 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093799157 | NPPES |
| Other | 1609168 | INDEPENDENT HEALTH | |
| Other | 000510109013 | INDEPENDENT HEALTH | |
| Other | 00025517704 | INDEPENDENT HEALTH | |
| Other | 1524826CR | INDEPENDENT HEALTH |
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