MEDICARE: MORGAN FREED RN

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	163WR0400X	Rehabilitation Registered Nurse	041.496621	IL

General Provider Information

NPI Number	:	1851236947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN FREED RN

Provider Business Mailing Address
First Line	:	1415 N DEARBORN ST APT 5C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-5520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 N DEARBORN ST APT 5C
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-5520
Country	:	US
Telephone Number	:	480-772-3688
Fax Number	:

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

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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