# PASSPORT ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passport Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649313842
- **Authorized official:** SCOTT M MORCOTT M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (847) 816-3434

## Contact information

- **Practice address:** 250 CENTER DR STE 202, VERNON HILLS, IL 60061-1582
- **Practice address phone:** (847) 816-3434
- **Practice address fax:** (847) 816-6363
- **Mailing address:** 250 CENTER DR STE 202, VERNON HILLS, IL 60061-1582
- **Mailing address phone:** (847) 816-3434
- **Mailing address fax:** (847) 816-6363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020
