MEDICARE: MR. TIMOTHY DAVID MORRILL ARNP, CAP

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
1	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	9343749	FL
2	363LG0600X	Gerontology Nurse Practitioner	ARNP9343749	FL
3	363LA2200X	Adult Health Nurse Practitioner	277005215	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1205263019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY DAVID MORRILL ARNP, CAP

Provider Business Mailing Address
First Line	:	4711 GOLF RD STE 3
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1224
Country	:	US
Telephone Number	:	847-563-4488
Fax Number	:	847-770-4484

Provider Business Practice Location Address
First Line	:	4711 GOLF RD STE 1200
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1200
Country	:	US
Telephone Number	:	847-563-4488
Fax Number	:	847-770-4484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2013
Last Update Date	:	02/07/2026

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