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Contact Information

ALEXANDRIA MONTGOMERY, MA
8419 S COTTAGE GROVE AVE
CHICAGO, IL60619
 Phone: 312-885-4621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ALEXANDRIA MONTGOMERY · (Female)

NPI Number 1528538451
Status Active
Credentials MA
Entity Individual
Enumeration date 12/04/2018
Last updated 12/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IL Medicaid 1699078766
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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