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NPI Code Detail

MEDICARE: MICHAEL SCOTT MORRIS PA-C

MEDICARE: MICHAEL SCOTT MORRIS PA-C
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
1363AS0400XSurgical Physician Assistant085001223IL
2363A00000XPhysician Assistant085-001223IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00298727OTHERILMEDICARE RAILROAD

General Provider Information

NPI Number : 1578539847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL SCOTT MORRIS PA-C
Provider Business Mailing Address
First Line : 2650 RIDGE AVE STE 1223
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number : 847-982-6710
Fax Number :
Provider Business Practice Location Address
First Line : 929 W HIGGINS RD
Second Line :
City : SCHAUMBURG
State : IL
Zip : 60195-3203
Country : US
Telephone Number : 847-285-4200
Fax Number : 847-885-0130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 03/24/2026

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Directions to “ MICHAEL SCOTT MORRIS PA-C” Practice Location

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