Healthcare Provider Details

I. General information

NPI: 1689131740
Provider Name (Legal Business Name): SARAH KATHRYN MORGAN AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E 93RD ST STE 440
CHICAGO IL
60617-3951
US

IV. Provider business mailing address

3100 N SACRAMENTO AVE APT 1
CHICAGO IL
60618-7033
US

V. Phone/Fax

Practice location:
  • Phone: 773-768-6400
  • Fax:
Mailing address:
  • Phone: 331-442-1603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number147.001721
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: