MEDICARE: GOOD MORNING CLINIC

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	172P00000X	Naprapath	181000375	IL

General Provider Information

NPI Number	:	1790058659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD MORNING CLINIC

Provider Business Mailing Address
First Line	:	4007 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2819
Country	:	US
Telephone Number	:	773-993-0065
Fax Number	:	773-993-0065

Provider Business Practice Location Address
First Line	:	4007 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2819
Country	:	US
Telephone Number	:	773-993-0065
Fax Number	:	773-993-0065

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MUN HAN
Credential	:	DN
Telephone Number	:	773-993-0065

Provider Enumeration Date	:	02/22/2012
Last Update Date	:	03/01/2012

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Directions to “GOOD MORNING CLINIC ” Practice Location

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