Provider Demographics
NPI:1033927587
Name:MORGAN, VIRGINIA (APRN, CNP)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:BRITES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2850 W 95TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2703
Mailing Address - Country:US
Mailing Address - Phone:708-425-9550
Mailing Address - Fax:708-229-6084
Practice Address - Street 1:2800 W 95TH ST # L
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2701
Practice Address - Country:US
Practice Address - Phone:708-422-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.031322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty