Healthcare Provider Details

I. General information

NPI: 1346167202
Provider Name (Legal Business Name): MORGYN EMANEE FARNUM DNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 W MADISON ST
CHICAGO IL
60624-0315
US

IV. Provider business mailing address

4305 W MADISON ST
CHICAGO IL
60624-0315
US

V. Phone/Fax

Practice location:
  • Phone: 312-666-3494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.607380
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: