Individual
MORGAN ANN JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5311 S HARLEM AVE, CHICAGO, IL 60638-1006
(773) 992-1555
Mailing address
5311 S HARLEM AVE, CHICAGO, IL 60638-1006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1982336590
IL
Other
Enumeration date
06/30/2022
Last updated
12/18/2023
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