Healthcare Provider Details

I. General information

NPI: 1184702078
Provider Name (Legal Business Name): CHRISTOPHER B. MORGAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N. ELM STREET SUITE 109
HINSDALE IL
60521-2602
US

IV. Provider business mailing address

908 N. ELM STREET SUITE 109
HINSDALE IL
60521-2602
US

V. Phone/Fax

Practice location:
  • Phone: 630-794-9999
  • Fax: 630-794-9998
Mailing address:
  • Phone: 630-794-9999
  • Fax: 630-794-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036-068348
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: