Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jazmin Montgomery

Individual provider Developmental Therapist · NPI 1104785567

Jazmin Montgomery is a Developmental Therapist in South Holland, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

16660 Paxton Ave
South Holland, IL 60473-2633
Phone: (708) 516-7968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1104785567
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJanuary 20, 2026
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address16660 Paxton Ave, South Holland, IL 60473-2633

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