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

MS. Lacey Montgomery, PA-C

Individual provider Medical Physician Assistant · NPI 1639166796

MS. Lacey Montgomery, PA-C is a Medical Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5841 S Maryland Ave # MC4028
Chicago, IL 60637-1447
Phone: (773) 834-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (IL)

Record details

NPI number1639166796
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESAugust 21, 2007

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