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Morgan Medical Group, LLC

Family Medicine in Mount Prospect, IL. Organization (NPI-2).

NPI number1043733504
StatusActive
Last updated in NPPESJul 17, 2017

Details

NPI
1043733504
Entity type
Organization (NPI-2)
Legal business name
Morgan Medical Group, LLC
Organization subpart
No
Enumeration date
Jul 17, 2017
Last updated
Jul 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207QS0010X Family Medicine, Sports Medicine––

Practice location

250 W Kensington Rd
Suite 1a
Mount Prospect, IL 60056

Phone 847-305-8534

Mailing address

105 N Western Ave
Park Ridge, IL 60068

Phone 847-436-1305

Authorized official

Kara Vormittag
Owner
8474361305

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