MEDICARE: SHEVIA MORRIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0006X	Developmental - Behavioral Pediatrics Physician	0000000	IL

General Provider Information

NPI Number	:	1134644834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEVIA MORRIS

Provider Business Mailing Address
First Line	:	736 N HILLSIDE AVE
Second Line	:
City	:	HILLSIDE
State	:	IL
Zip	:	60162-1016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5116 N NORDICA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-3606
Country	:	US
Telephone Number	:	773-750-0982
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2017
Last Update Date	:	08/03/2017

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Directions to “ SHEVIA MORRIS ” Practice Location

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