Individual
MR. JACK MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9669 N KENTON, STE 404, SKOKIE, IL 60076
(847) 679-9100
(847) 679-6343
Mailing address
9669 N KENTON, STE 404, SKOKIE, IL 60076
(847) 679-9100
(847) 679-6343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036048974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048974
—
IL
01
—
21605186
BCBS
IL
Enumeration date
12/21/2005
Last updated
01/10/2011
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