Individual
MORGAN CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 N ASHLAND AVE, CHICAGO, IL 60607-1802
(763) 913-9498
Mailing address
832 W NEWPORT AVE APT 2, CHICAGO, IL 60657-2323
(763) 913-9498
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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