Healthcare Provider Details

I. General information

NPI: 1427256361
Provider Name (Legal Business Name): LISA MORRIS MS SPEECH PATH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 S ROUTE 59 # 116-326
PLAINFIELD IL
60585-5826
US

IV. Provider business mailing address

13400 S ROUTE 59 # 116-326
PLAINFIELD IL
60585-5826
US

V. Phone/Fax

Practice location:
  • Phone: 815-267-7334
  • Fax: 630-429-9411
Mailing address:
  • Phone: 815-267-7334
  • Fax: 630-429-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146-006024
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146006024
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: