| NPI | 1649313842 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | SCOTT M MORCOTT Medical Director 847-816-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IL 036-099609) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |