Daniel Morton
Individual provider Active NPI Radiography Radiologic Technologist · Texico, IL
NPI 1497943567 · NPPES record last updated Oct 13, 2007
Key facts
- NPI
- 1497943567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiography Radiologic Technologist 2471C3402X
- Practice address
- 20421 N Miller Lake LN
Texico, IL 62889-2812 - Phone
- (618) 266-7141
- NPI assigned
- Oct 13, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500501884 | IL | MD | Radiography Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | IL | Yes |
Addresses
Primary practice location
20421 N Miller Lake LN
Texico, IL 62889-2812
Mailing address
20421 N Miller Lake LN
Texico, IL 62889-2812
Phone (618) 266-7141
Other providers in Texico, IL
All providers in Texico, IL · Radiography Radiologic Technologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.