Provider Demographics
NPI:1851357271
Name:MORLEY, GINA M (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:M
Last Name:MORLEY
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9838 RIVERS BEND DR
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-8358
Mailing Address - Country:US
Mailing Address - Phone:815-623-6546
Mailing Address - Fax:
Practice Address - Street 1:2400 N ROCKTON AVE
Practice Address - Street 2:MERCYHEALTH HOSPITAL- ROCKTON AVENUE
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-3655
Practice Address - Country:US
Practice Address - Phone:815-971-5069
Practice Address - Fax:815-968-7830
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
99218170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS