Provider Demographics
NPI:1235361866
Name:MORGAN, GRETA D (SW-A)
Entity Type:Individual
Prefix:MS
First Name:GRETA
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:F
Credentials:SW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7121 N PAULINA ST
Mailing Address - Street 2:1N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2549
Mailing Address - Country:US
Mailing Address - Phone:847-635-4690
Mailing Address - Fax:847-635-7061
Practice Address - Street 1:7121 N PAULINA ST
Practice Address - Street 2:1N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-2549
Practice Address - Country:US
Practice Address - Phone:847-635-4690
Practice Address - Fax:847-635-7061
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-15
Last Update Date:2009-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker