NPI Code Details Logo

NPI 1275648511

NPI 1275648511 : MORRIS HOSPITAL : CHANNAHON, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275648511
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MORRIS HOSPITAL 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/19/2006
-----------------------------------------------------
    Last Update Date     |    11/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    25259 S REED ST 
-----------------------------------------------------
    City                 |    CHANNAHON
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-467-0555
-----------------------------------------------------
    Fax                  |    815-467-9823
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    725 SCHOOL ST STE A 
-----------------------------------------------------
    City                 |    MORRIS
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60450-1207
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-941-9124
-----------------------------------------------------
    Fax                  |    815-941-9128
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     MICHAEL  LAWRENCE 
-----------------------------------------------------
    Credential           |    CFO
-----------------------------------------------------
    Telephone            |    815-942-2932
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207XX0005X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207RE0101X
-----------------------------------------------------
    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207RR0500X
-----------------------------------------------------
    Taxonomy Name        |    Rheumatology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261QH0100X
-----------------------------------------------------
    Taxonomy Name        |    Health Service Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    208D00000X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.