=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093648859
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MSB MEDICAL, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2026
-----------------------------------------------------
Last Update Date | 06/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1952 MCDOWELL RD STE 205
-----------------------------------------------------
City | NAPERVILLE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60563-6506
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-864-6906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1405 NW MAPLE ST
-----------------------------------------------------
City | ANKENY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50023-4266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 515-293-7300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | WILLIAM MORRIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 515-205-6021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------