Marc Montgomery

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1108 Linden Ave
Oak Park, IL 60302-1243

Phone

(312) 961-4894

Fax

(708) 383-6948

NPI assigned

Sep 22, 2014

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• GM Psychological Services, Inc.

  • Clinical Psychologist
  • Oak Park, IL
  • NPI 1437288735
  NPD (past)

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1952703969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 LINDEN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021243",
            "telephone_number": "312-961-4894",
            "fax_number": "708-383-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LINDEN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021243",
            "telephone_number": "312-961-4894",
            "fax_number": "708-383-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Montano, RBT
• Jazmin Montes
• Charnell Montgomery
• Kiara Monet Montgomery
• Kina Montgomery
• Maria Isabel Montoya
• Latrina Lavell Moore
• Raven Moore, MSAC
• Samantha Moore
• Tonya Moore, LMFT

• Home Health Aide in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.