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NPI Code Detail

MEDICARE: JOHN PATRICK MORGAN L.C.P.C.

MEDICARE: JOHN PATRICK MORGAN L.C.P.C.
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
1101YP2500XProfessional Counselor180-000190IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3202591OTHERILMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21617631OTHERILBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336254440
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PATRICK MORGAN L.C.P.C.
Provider Business Mailing Address
First Line : 658 S FERN CT
Second Line :
City : ELMHURST
State : IL
Zip : 60126-4616
Country : US
Telephone Number : 630-530-8220
Fax Number :
Provider Business Practice Location Address
First Line : 5341 W CERMAK RD
Second Line :
City : CICERO
State : IL
Zip : 60804-2817
Country : US
Telephone Number : 708-656-6430
Fax Number : 708-656-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 09/18/2008

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