Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 036041426 | IL |
NPI | 1033111042 |
---|---|
Provider Name | Arthur M Morris |
First Address | Oak Brook, IL 60523-1557 |
Second Address | Oak Brook, IL 60523-1557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036041426 | (05) | IL |
1616108 | BCBS (01) | IL |
D12439 | (02) | IL |