Healthcare Provider Details

I. General information

NPI: 1821932708
Provider Name (Legal Business Name): JUSTINE M MORRISON NTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 W HELEN RD
PALATINE IL
60067-6052
US

IV. Provider business mailing address

587 W HELEN RD
PALATINE IL
60067-6052
US

V. Phone/Fax

Practice location:
  • Phone: 312-919-8342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberM625-4338-4876
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: