MS. LACEY MONTGOMERY (PA-C) – Medical Physician Assistant, NPI 1639166796

MS. LACEY MONTGOMERY (PA-C) is a healthcare provider. based in Chicago, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. The NPI Number for MS. LACEY MONTGOMERY (PA-C) is 1639166796

Main info

Female
Name
MS. LACEY MONTGOMERY (PA-C)
NPI
1639166796
Phone
(773) 834-7136
Address
5841 S MARYLAND AVE # MC4028
Enumeration Date
4 October 2005
Last Update Date
21 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for MS. LACEY MONTGOMERY (PA-C)

  • 5841 S MARYLAND AVE # MC4028

    CHICAGO, IL 606371447

    Phone: (773) 834-7136

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60637)

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Reviews

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Frequently asked questions

Can I cross-check MS. LACEY MONTGOMERY (PA-C) using NPI 1639166796?
NPI 1639166796 belongs to MS. LACEY MONTGOMERY (PA-C); compare other details if you need extra assurance.
Is there an active status for MS. LACEY MONTGOMERY (PA-C)?
For scheduling context, MS. LACEY MONTGOMERY (PA-C) is shown as active in the registry.
What kind of doctor is MS. LACEY MONTGOMERY (PA-C)?
MS. LACEY MONTGOMERY (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MS. LACEY MONTGOMERY (PA-C) registered?
Use Chicago, Illinois as the headline location for MS. LACEY MONTGOMERY (PA-C) here.
When was this NPI issued?
Enumeration for MS. LACEY MONTGOMERY (PA-C) is noted as October 4, 2005 where the registry provides it.

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