Individual
KIPP MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 E BELVIDERE RD UNIT 385, GRAYSLAKE, IL 60030-2026
(847) 535-7157
Mailing address
505 EAGLE HTS APT D, MADISON, WI 53705-2037
(608) 733-1798
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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