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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093799157 NPPES
Other 1609168 INDEPENDENT HEALTH
Other 000510109013 INDEPENDENT HEALTH
Other 00025517704 INDEPENDENT HEALTH
Other 1524826CR INDEPENDENT HEALTH

Popular Providers