MEDICARE: MORGAN KATRINA LOTZ APRN

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	363LF0000X	Family Nurse Practitioner	209018122	IL
2	364SX0200X	Oncology Clinical Nurse Specialist	209018122	IL

General Provider Information

NPI Number	:	1972075752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN KATRINA LOTZ APRN

Provider Business Mailing Address
First Line	:	1510 N GREENVIEW AVE APT 3F
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-7117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2216 W THOMAS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3778
Country	:	US
Telephone Number	:	312-770-2272
Fax Number	:

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

Provider Enumeration Date	:	12/18/2018
Last Update Date	:	11/14/2025

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