Healthcare Provider Details

I. General information

NPI: 1558312371
Provider Name (Legal Business Name): JAMES A MORRONE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 OAKBROOK CTR SUITE 700
OAK BROOK IL
60523-1806
US

IV. Provider business mailing address

120 OAKBROOK CTR SUITE 700
OAK BROOK IL
60523-1806
US

V. Phone/Fax

Practice location:
  • Phone: 630-574-3700
  • Fax: 630-574-3705
Mailing address:
  • Phone: 630-574-3700
  • Fax: 630-574-3705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: