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Contact Information

PAUL MONTGOMERY, MD
4440 W 95TH ST DEPT OF
OAK LAWN, IL60453-2600
 Phone: 708-684-5503
 Fax: 708-684-2675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for PAUL MONTGOMERY · (Male)

NPI Number 1093799157
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 12/10/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-148104
  • NY License # 152482
  • Other 000510109013 BLUE SHIELD OF WESTERN NY
  • Other 1609168 INDEPENDENT HEALTH
  • Other 00025517704 UNIVERA
  • NY Other 1524826CR WORKERS COMPENSATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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