Healthcare Provider Details

I. General information

NPI: 1578832507
Provider Name (Legal Business Name): FRANCES R MORKEN MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2011
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 LAKE ST SUITE 1
ANTIOCH IL
60002
US

IV. Provider business mailing address

1021 N MULFORD SUITE 1
ROCKFORD IL
61107-3877
US

V. Phone/Fax

Practice location:
  • Phone: 630-461-1622
  • Fax:
Mailing address:
  • Phone: 815-399-9700
  • Fax: 815-394-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.007856
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: