Healthcare Provider Details

I. General information

NPI: 1558200246
Provider Name (Legal Business Name): CONNIE MOROZ THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 CLEVELAND ST
EVANSTON IL
60202-2114
US

IV. Provider business mailing address

1117 CLEVELAND ST
EVANSTON IL
60202-2114
US

V. Phone/Fax

Practice location:
  • Phone: 847-830-0203
  • Fax:
Mailing address:
  • Phone: 847-830-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CONSTANCE MOROZ
Title or Position: OWNER
Credential: LCSW
Phone: 847-830-0203