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Individual

MIA MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3201 N WOLCOTT AVE, APT. 2B, CHICAGO, IL 60657-2075
(847) 977-3399
Mailing address
1964 W AINSLIE ST, APT. 3B, CHICAGO, IL 60640-3318

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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Product
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