Healthcare Provider Details

I. General information

NPI: 1720185150
Provider Name (Legal Business Name): MORRIS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W US ROUTE 6
MORRIS IL
60450
US

IV. Provider business mailing address

725 SCHOOL ST STE A
MORRIS IL
60450-1207
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-2932
  • Fax: 815-941-0743
Mailing address:
  • Phone: 815-941-9124
  • Fax: 815-941-4363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0203X
TaxonomyRadiation Oncology Clinic/Center
License Number0001628
License Number StateIL

VIII. Authorized Official

Name: MICHAEL LAWRENCE
Title or Position: CFO
Credential:
Phone: 815-942-2932