Healthcare Provider Details

I. General information

NPI: 1326989682
Provider Name (Legal Business Name): MORGAN CORMICAN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 N YORK ST
ELMHURST IL
60126-2363
US

IV. Provider business mailing address

386 N YORK ST
ELMHURST IL
60126-2363
US

V. Phone/Fax

Practice location:
  • Phone: 708-628-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022945
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: