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Specialty details in registry · Mount Morris, IL

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At a glance

414 S Wesley Ave, Mount Morris, IL 61054-1428

NPPES record updated Apr 5, 2013. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

414 S Wesley Ave
Mount Morris, IL 61054-1428
Professional details: NPI, taxonomy & registry record
NPI1154663946
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2000X
Enumeration date
Mar 20, 2013
Record updated
Apr 5, 2013
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

414 S Wesley Ave
Mount Morris, IL 61054-1428
Phone
(815) 734-4103
Fax
(815) 734-7318
Mailing address
414 S WESLEY AVE

MOUNT MORRIS, IL 610541428
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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