NATHANIEL MORGAN (NPI# 1861404279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861404279 |
| Entity Type | Individual |
| Full Name | NATHANIEL MORGAN |
| Credential | M.D. |
| Practice Address |
11157 S Halsted St Chicago IL 60628-3910 |
| Mailing Address |
1108 W 110th Pl Chicago IL 60643-3711 |
| Practice Telephone | 7735685800 |
| Mailing Telephone | 7732380723 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036-051453 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417582826 | Nathaniel Wren Morgan | Counselor | 2810 Dacy Ln, Kyle, TX 78640-6322 | 2020-03-05 |
| Street Address |
11157 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60628-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023281722 | Morgan Park Health Services,ltd | Preferred Provider Organization | 11157 S Halsted St, Chicago, IL 60628-3910 | 2008-04-02 |
| 1316157423 | Morgan Park Pharmacy | Pharmacist | 11157 S Halsted St, Chicago, IL 60628-3910 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750857942 | Myrna Pledger | Counselor | 259 W. 104th Pl., Chicago, IL 60628 | 2018-10-16 |
| 1073097184 | 4every1 Lab Inc. | Clinical Medical Laboratory | 10723 S Halsted St, Chicago, IL 60628 | 2018-09-24 |
| 1922594613 | Northwest Adult Wellness Center LLC | Clinic/Center | 235 W 95th Suite 3, Chicago, IL 60628 | 2018-07-05 |
| 1285152801 | Brittany Bellamy | Developmental Therapist | 10333 S Prairie, Chicago, IL 60628 | 2017-09-04 |
| 1598293839 | Denise Marie Mercherson | Social Worker | 9561 S. Union, Chicago, IL 60628 | 2017-05-31 |
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1528432697 | Global Dialysis, LLC | Registered Nurse | 9746 South Harvard Ave., Chicago, IL 60628 | 2015-11-30 |
| 1871966382 | Kirby Rehabilitation, Inc | Clinic/Center | 723 W. 111th St, Chicago, IL 60628 | 2015-11-05 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1841567377 | Emma Goodman | Pharmacist | 10620 S. Halsted St, Chicago, IL 60628 | 2011-11-29 |
| Find all providers in zip 60628 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023040573 | Thomas L. Fisher, M.d., S.c. | Dermatology | 47 W Polk St Lbby G1, Chicago, IL 60605-2087 | 2006-07-07 |
| 1073041455 | Sepideh Asadbeigi | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2017-05-30 |
| 1548517949 | Michael Sidiropoulos | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2012-08-06 |
| 1225074727 | Joan Guitart | Dermatology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376866897 | Physicians Dermpath Laboratory | Dermatology | 1420 N. Renaissance Dr., Suite 204, Park Ridge, IL 60068-1330 | 2010-03-11 |
| 1417075961 | Asanee Lertsburapa | Dermatology | 708 Midwest Club Park Parkway, Oak Brook, IL 60523 | 2007-03-26 |
| 1467476457 | Jeffrey Berti | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2006-07-26 |
| 1215902986 | George T Nahass | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-02-17 |
| 1467955179 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-03-09 |
| 1194225268 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-02-15 |
| 1437404951 | Christina G Steil Dermatology Ltd | Dermatology | 40 S Clay St, #210e, Hinsdale, IL 60521-3257 | 2012-07-20 |
| 1245490382 | Tesfu Hailu | Dermatology | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2008-06-12 |
| 1528235371 | Ana M Eng Md Sc | Dermatology | 103 N Haven Rd, Ste 7, Elmhurst, IL 60126-2923 | 2008-05-12 |
| 1871768846 | Dermatology and Dermatologic Surgery Ltd | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2008-04-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.