Individual
JERRY G. MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 TEMPLETON DR, OSWEGO, IL 60543-7000
(630) 978-6671
Mailing address
28594 NETWORK PL, CHICAGO, IL 60673-1285
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.117944
IL
208M00000X
Hospitalist Physician
Primary
036-117944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36117944
LICENSE
IL
Enumeration date
05/02/2007
Last updated
09/11/2024
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