Provider Demographics
NPI:1053710251
Name:SWEENEY, MORGAN (DPT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 N HAMPDEN CT
Mailing Address - Street 2:APT 505
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-4953
Mailing Address - Country:US
Mailing Address - Phone:248-877-1292
Mailing Address - Fax:
Practice Address - Street 1:2629 N HAMPDEN CT
Practice Address - Street 2:APT 505
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-4953
Practice Address - Country:US
Practice Address - Phone:248-877-1292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist