Healthcare Provider Details

I. General information

NPI: 1093648859
Provider Name (Legal Business Name): MSB MEDICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 MCDOWELL RD STE 205
NAPERVILLE IL
60563-6506
US

IV. Provider business mailing address

1405 NW MAPLE ST
ANKENY IA
50023-4266
US

V. Phone/Fax

Practice location:
  • Phone: 630-864-6906
  • Fax:
Mailing address:
  • Phone: 515-293-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MORRIS
Title or Position: CEO
Credential:
Phone: 515-205-6021