CCN: 145748 NPI: 1811018112 Organization

MONTGOMERY PLACE

5550 S SHORE DR
CHICAGO, IL 606375051

Contact Information

Phone 7737534100
Fax 7737520056
Enumeration Date 2007-04-03
Last Updated 2021-03-03

Taxonomies

Code: 314000000X
Code: 313M00000X (Primary) License State: IL License: 0037515

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9886245447

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9802564842

censusDivision 6

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9802538758

censusDivision 6

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 6

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9808366546

censusDivision 6

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9812930602

censusDivision 6

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9811773817

censusDivision 6

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9811773817

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.