Individual
MARY KENNA MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 250, CHICAGO, IL 60612-3841
(312) 942-6163
(312) 563-2096
Mailing address
1725 W HARRISON ST, SUITE 250, CHICAGO, IL 60612-3841
(312) 942-6163
(312) 563-2096
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-004936
IL
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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