Healthcare Provider Details

I. General information

NPI: 1316877210
Provider Name (Legal Business Name): MORGAN BELL HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E TERRA COTTA AVE
CRYSTAL LAKE IL
60014-3652
US

IV. Provider business mailing address

40 N AIRLITE ST
ELGIN IL
60123-4965
US

V. Phone/Fax

Practice location:
  • Phone: 815-444-6800
  • Fax:
Mailing address:
  • Phone: 847-888-8878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3673
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: