Individual
TOMEKA R MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4631C S LAKE PARK AVE APT 305, CHICAGO, IL 60653-4544
(773) 440-7450
Mailing address
4631C S LAKE PARK AVE APT 305, CHICAGO, IL 60653-4544
(773) 440-7450
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
02/10/2020
Last updated
05/28/2025
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