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NPI Code Detail

MEDICARE: DR. DAVID MORRIS M.D.

MEDICARE: DR. DAVID MORRIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician036108676IL
2208600000XSurgery Physician036108676IL
32086S0122XPlastic and Reconstructive Surgery Physician036108676IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174663413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MORRIS M.D.
Provider Business Mailing Address
First Line : 840 S WOOD ST
Second Line : SUITE 515 - CSN - MC 958
City : CHICAGO
State : IL
Zip : 60612-4325
Country : US
Telephone Number : 312-996-9313
Fax Number : 312-413-0495
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line : DEPT 3449
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-996-9313
Fax Number : 312-413-0495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 05/17/2016

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