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NPI Code Detail

MEDICARE: DR. DANIEL G MORJAL PSY.D, MSCP

MEDICARE:  DR. DANIEL G MORJAL  PSY.D, MSCP
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
1103TP0016XPrescribing (Medical) Psychologist374-000010IL
2103TP0016XPrescribing (Medical) Psychologist074-000010IL
3103TC0700XClinical Psychologist071-007153IL

General Provider Information

NPI Number : 1689897639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL G MORJAL PSY.D, MSCP
Provider Business Mailing Address
First Line : 250 W DUNDEE RD UNIT 1002
Second Line :
City : WHEELING
State : IL
Zip : 60090-1235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4809 N RAVENSWOOD AVE UNIT 320
Second Line :
City : CHICAGO
State : IL
Zip : 60640-4417
Country : US
Telephone Number : 773-800-1513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 02/19/2025

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