Individual
JEREMY GANTZ MORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
815 W BUENA AVE, CHICAGO, IL 60613-1694
(773) 236-7504
Mailing address
815 W BUENA AVE, CHICAGO, IL 60613-1694
(773) 236-7504
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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