LACEY MONTGOMERY

CHICAGO, IL
NPI1639166796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-002214)
Enumeration Date2005-10-04
Last Update Date2007-08-21
Business Address
Ms. LACEY MONTGOMERY PA-C
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637-1447
Phone number: 773-834-7136
Mailing Address
Ms. LACEY MONTGOMERY PA-C
5841 S MARYLAND AVE # MC4028
CHICAGO, IL 60637-1447
Phone number: 773-834-7136
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