DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RUSSELL CHARLES MORGAN ATC/L

MEDICARE: RUSSELL CHARLES MORGAN ATC/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerIL

General Provider Information

NPI Number : 1023087186
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUSSELL CHARLES MORGAN ATC/L
Provider Business Mailing Address
First Line : 6405 1ST ST
Second Line :
City : LOVES PARK
State : IL
Zip : 61111-4103
Country : US
Telephone Number : 815-633-2348
Fax Number :
Provider Business Practice Location Address
First Line : 5510 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2381
Country : US
Telephone Number : 815-395-4505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1003758277 — TAELOR CASH OTR/L
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax:
1932172087 — CLAYTON A. CORLESS ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1417925355 — MRS. CHRISTINA AUGUSTA ELDRIDGE ATC, CSCS
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4585
Practice Fax: 815-395-4507
1134198211 — MRS. KIMBERLY ANN SMITH M.S. ED, ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1720057375 — MR. BRETT HOLMERTZ ATC
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax: 815-395-4507
1831168285 — MS. JAN K HERSHEY MSED
Practice Location Address:
5510 E STATE ST
ROCKFORD, IL
61108-2381
Practice Phone: 815-395-4505
Practice Fax:

Directions to “ RUSSELL CHARLES MORGAN ATC/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.