DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BENJAMIN E. MONTGOMERY M.D.

MEDICARE: DR. BENJAMIN E. MONTGOMERY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036-109933IL

General Provider Information

NPI Number : 1083609747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BENJAMIN E. MONTGOMERY M.D.
Provider Business Mailing Address
First Line : PO BOX 19639
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62794-9639
Country : US
Telephone Number : 217-545-8000
Fax Number : 844-470-2486
Provider Business Practice Location Address
First Line : 3220 ATLANTA ST STE 100
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62707-8801
Country : US
Telephone Number : 217-545-8801
Fax Number : 217-545-4444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 10/22/2025

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:
2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908
Practice Phone: 701-922-1000
Practice Fax: 703-922-1039
1972716033 — JOSHUA ELLISON MD
Practice Location Address:
3220 ATLANTA ST
SPRINGFIELD, IL
62707-8801
Practice Phone: 217-588-7400
Practice Fax:
1063646040 — NORTH DIRKSEN MEDICAL ASSOCIATES, LLC
Practice Location Address:
3220 ATLANTA ST
SPRINGFIELD, IL
62707-8801
Practice Phone: 217-588-7400
Practice Fax:
1013144021 — MRS. LACEY DIVELY MOY MD
Practice Location Address:
3220 ATLANTA ST
SPRINGFIELD, IL
62707-8801
Practice Phone: 217-588-7400
Practice Fax: 217-588-7439
1699147215 — KELLIE BIBB
Practice Location Address:
3220 ATLANTA ST
SPRINGFIELD, IL
62707-8801
Practice Phone: 217-588-2600
Practice Fax: 217-862-0202
1003276189 — LINDSEY OSTERMEIER FNP
Practice Location Address:
3220 ATLANTA ST
SPRINGFIELD, IL
62707-8801
Practice Phone: 217-588-7400
Practice Fax:

Directions to “ DR. BENJAMIN E. MONTGOMERY M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.