Healthcare Provider Details

I. General information

NPI: 1497581367
Provider Name (Legal Business Name): MORGAN R OHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 W ROOSEVELT RD BUILDING 15 SUITE 103
WEST CHICAGO IL
60185-4819
US

IV. Provider business mailing address

245 W ROOSEVELT RD STE 103
WEST CHICAGO IL
60185-4819
US

V. Phone/Fax

Practice location:
  • Phone: 888-308-3728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: