Healthcare Provider Details

I. General information

NPI: 1770305401
Provider Name (Legal Business Name): MORGAN ESLINGER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4525 N RAVENSWOOD AVE
CHICAGO IL
60640-8038
US

IV. Provider business mailing address

2132 W SCHILLER ST APT 1R
CHICAGO IL
60622-1866
US

V. Phone/Fax

Practice location:
  • Phone: 312-265-3025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number180016492
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: