MEDICARE: YOKO MORI PH.D.

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	103TC1900X	Counseling Psychologist

General Provider Information

NPI Number	:	1669892303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOKO MORI PH.D.

Provider Business Mailing Address
First Line	:	1301 W MADISON ST APT 217
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1943
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 W MADISON ST APT 217
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1943
Country	:	US
Telephone Number	:	484-894-8347
Fax Number	:

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/21/2014

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Directions to “ YOKO MORI PH.D.” Practice Location

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