MEDICARE: MORGAN KATHLEEN CAWLEY

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
1	235Z00000X	Speech-Language Pathologist	146009621	IL

General Provider Information

NPI Number	:	1508199373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN KATHLEEN CAWLEY

Provider Business Mailing Address
First Line	:	2470 N CLARK ST APT 703
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2735
Country	:	US
Telephone Number	:	310-998-7882
Fax Number	:

Provider Business Practice Location Address
First Line	:	2470 N CLARK ST APT 703
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2735
Country	:	US
Telephone Number	:	310-998-7882
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	09/11/2009

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Directions to “ MORGAN KATHLEEN CAWLEY ” Practice Location

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