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Pamela Rae Morrison
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NPI Number Detailed Information
Provider Information:
| Name: | Pamela Rae Morrison |
| Gender: | F |
| Provider License Number If Given: |
NPI Information:
| NPI: | 1427043959 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 500 N WESTERN AVE #202 Lake Forest, IL 60045 |
| Phone Number: | 8472341656 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 500 N WESTERN AVE #202 Lake Forest, IL 60045 |
| Phone Number: | 8472341656 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 2251X0800X |
| Secondary (if any): | |
| State: | IL |
