Healthcare Provider Details

I. General information

NPI: 1972075752
Provider Name (Legal Business Name): MORGAN KATRINA LOTZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 W THOMAS ST
CHICAGO IL
60622-3778
US

IV. Provider business mailing address

1510 N GREENVIEW AVE APT 3F
CHICAGO IL
60642-7117
US

V. Phone/Fax

Practice location:
  • Phone: 312-770-2272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209018122
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number209018122
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: