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Individual

JOHN PATRICK MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.P.C.

Contact information

Practice address
5341 W CERMAK RD, CICERO, IL 60804-2817
(708) 656-6430
(708) 656-6591
Mailing address
658 S FERN CT, ELMHURST, IL 60126-4616
(630) 530-8220

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-000190
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1617631
BLUE CROSS BLUE SHIELD
IL
05
180000190
IL
01
202591
MEDICARE
IL
Enumeration date
08/20/2006
Last updated
09/18/2008
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