| Paul Montgomery, MD | |
|
4440 W 95th St Dept Of, Oak Lawn, IL 60453-2600 | |
| (708) 684-5503 | |
| (708) 684-2675 |
| Full Name | Paul Montgomery |
|---|---|
| Gender | Male |
| Speciality | Radiology - Pediatric Radiology |
| Location | 4440 W 95th St Dept Of, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093799157 | NPI | - | NPPES |
| 1609168 | Other | INDEPENDENT HEALTH | |
| 000510109013 | Other | BLUE SHIELD OF WESTERN NY | |
| 00025517704 | Other | UNIVERA | |
| 1524826CR | Other | NY | WORKERS COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | 152482 (New York) | Secondary |
| 2085P0229X | Radiology - Pediatric Radiology | 036-148104 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Montgomery, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Paul Montgomery, MD 4440 W 95th St Dept Of, Oak Lawn, IL 60453-2600 Ph: (708) 684-5503 |
Dr. Choong H Koh, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th Street, Oak Lawn, IL 60653 Phone: 708-345-5520 | |
Dr. Paul Michael Guzzetta Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-3077 Fax: 708-684-4800 | |
Dr. Myrosia Tomiak Mitchell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Advocate Christ Medical Center, Dept. Of Radiology, Oak Lawn, IL 60453 Phone: 708-915-5671 Fax: 708-915-4022 | |
Nihal Gooneratne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-648-5520 | |
Antoine Azar, MD Radiology Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-6949 | |
Dr. Hyuk Jason Kang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-346-3055 |