Provider Demographics
NPI:1821157074
Name:MORCOS, JENNIFER ALYSSA (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ALYSSA
Last Name:MORCOS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 S VAIL AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1840
Mailing Address - Country:US
Mailing Address - Phone:847-368-9800
Mailing Address - Fax:847-368-9350
Practice Address - Street 1:27 S VAIL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1840
Practice Address - Country:US
Practice Address - Phone:847-368-9800
Practice Address - Fax:847-368-9350
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist