MEDICARE: MORGAN ESLINGER LCPC

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	101Y00000X	Counselor	180016492	IL

General Provider Information

NPI Number	:	1770305401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN ESLINGER LCPC

Provider Business Mailing Address
First Line	:	2132 W SCHILLER ST APT 1R
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 N RAVENSWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-8038
Country	:	US
Telephone Number	:	312-265-3025
Fax Number	:

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

Provider Enumeration Date	:	10/24/2024
Last Update Date	:	10/24/2024

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