Healthcare Provider Details

I. General information

NPI: 1508512393
Provider Name (Legal Business Name): RMORRIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 MANNHEIM RD
BELLWOOD IL
60104-1339
US

IV. Provider business mailing address

235 MANNHEIM RD
BELLWOOD IL
60104-1339
US

V. Phone/Fax

Practice location:
  • Phone: 708-544-5656
  • Fax: 708-544-5669
Mailing address:
  • Phone: 708-544-5656
  • Fax: 708-544-5669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD ALLEN MORRIS
Title or Position: OWNER
Credential: DDS
Phone: 708-544-5656