Morgan, Jack
Morgan, Jack is an sole proprietor health care provider with primary practice located at 9669 N Kenton Ste 404, Skokie IL 60076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Morgan, Jack can be contacted via phone (847) 679-9100.Contact Information
Primary practice address
9669 N Kenton Ste 404
Skokie IL 60076
Phone: (847) 679-9100
Fax: (847) 679-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036048974 | Illinois |
Profile Details
| NPI number | 1154307213 |
|---|---|
| LBN Legal business name | Morgan, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jan 10th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154307213 | NPPES |
| Illinois | Other | 21605186 | BCBS |
| Illinois | MEDICAID | 036048974 | BCBS |
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