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NPI Code Detail

MEDICARE: MORGAN MACHADO PA

MEDICARE: MORGAN MACHADO PA
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
1363A00000XPhysician Assistant085011138IL

General Provider Information

NPI Number : 1770379869
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MACHADO PA
Provider Business Mailing Address
First Line : 120 W 22ND ST
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1557
Country : US
Telephone Number : 630-573-5000
Fax Number :
Provider Business Practice Location Address
First Line : 104 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2402
Country : US
Telephone Number : 312-850-8434
Fax Number : 312-766-4603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2025
Last Update Date : 04/16/2025

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Directions to “ MORGAN MACHADO PA” Practice Location

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