Healthcare Provider Details

I. General information

NPI: 1194649889
Provider Name (Legal Business Name): DOROTA MORAWSKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 S ROUTE 31 SUITE 191
MCHENRY IL
60050
US

IV. Provider business mailing address

518 S ROUTE 31 SUITE 191
MCHENRY IL
60050
US

V. Phone/Fax

Practice location:
  • Phone: 773-715-4924
  • Fax:
Mailing address:
  • Phone: 773-715-4924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License NumberM620-1607-8865
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: