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NPI Code Detail

MEDICARE: MORGAN KEMERLING

MEDICARE: MORGAN KEMERLING
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700589116
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN KEMERLING
Provider Business Mailing Address
First Line : 618 WESTRIDGE DR
Second Line :
City : AURORA
State : IL
Zip : 60504-3230
Country : US
Telephone Number : 630-605-0440
Fax Number :
Provider Business Practice Location Address
First Line : 3333 GREEN BAY RD
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3095
Country : US
Telephone Number : 847-578-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2023
Last Update Date : 03/24/2023

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