Individual
DR. JOHN DAVID MORGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 346-3055
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036082151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082151
—
IL
01
—
920002515
RR MEDICARE ICRO
IL
01
—
920004025
RR MEDICARE HITECH RAD
IL
01
—
960003849
RR MEDICARE CNSLTS RAD
IL
Enumeration date
11/17/2005
Last updated
07/19/2010
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