Montgomery Place

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MONTGOMERY PLACE

Practice address

5550 S Shore Dr
Chicago, IL 60637-5051

Phone

(773) 753-4100

Fax

(773) 752-0056

NPI assigned

Nov 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Frances Von Goeben, LNHA

Title

Administrator/Director of Operation

Phone

(773) 617-1447

Specialties & licenses 1

Addresses

Tax ID family

Montgomery Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Montgomery Place

  • Nursing Facility/Intermediate Care Facility
  • Chicago, IL
  • NPI 1811018112
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1679873111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375051",
            "telephone_number": "773-753-4100",
            "fax_number": "773-752-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606375051",
            "telephone_number": "773-753-4100",
            "fax_number": "773-752-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "VON GOEBEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "773-617-1447",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montessori Academy of Chicago LLC 1
• John Pascual Monteverde, M.D.
• Bernadette Montez
• Montgomery Counseling & Wellness PLLC
• Tanya Montgomery Nee Brown
• Montgomery Place
• Alexandria Montgomery, MA
• Amanda Montgomery, RD, LDN, MPH
• Ashley Montgomery, DO
• Bridget Montgomery, LCPC

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.