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NPI Code Detail

MEDICARE: MORGAN THOMAS DC

MEDICARE:   MORGAN  THOMAS  DC
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
1111N00000XChiropractor038.013761IL

General Provider Information

NPI Number : 1558039982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN THOMAS DC
Provider Business Mailing Address
First Line : 16W343 83RD ST STE D
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-7950
Country : US
Telephone Number : 630-908-7634
Fax Number : 630-568-3194
Provider Business Practice Location Address
First Line : 16W343 83RD ST STE D
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-7950
Country : US
Telephone Number : 630-908-7634
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 12/09/2021

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Directions to “ MORGAN THOMAS DC” Practice Location

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