Healthcare Provider Details

I. General information

NPI: 1114471075
Provider Name (Legal Business Name): JOYCE MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 08/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 S STATE ST ROOM 200
CHICAGO IL
60604-3900
US

IV. Provider business mailing address

333 S STATE ST ROOM 200
CHICAGO IL
60604-3900
US

V. Phone/Fax

Practice location:
  • Phone: 312-747-9545
  • Fax: 312-745-7603
Mailing address:
  • Phone: 312-747-9545
  • Fax: 312-745-7603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: