Passport Enterprises, LLC
NPI #1649313842 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1649313842
- Entity Type
- Organization
- Organization Name
- Passport Enterprises, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 250 CENTER DR STE 202
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1582
- Phone
- (847) 816-3434
Authorized Official
- Name
- SCOTT M MORCOTT, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (847) 816-3434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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