Individual
MS. ROSALYN M MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2145 W 95TH ST, CHICAGO, IL 60643-1018
(773) 233-7855
Mailing address
23 HAWTHORNE CT, CALUMET CITY, IL 60409-5011
(708) 201-8052
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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