Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | IL |
NPI | 1558312371 |
---|---|
Provider Name | Dr. James A Morrone |
First Address | Oak Brook, IL 60523-1806 |
Second Address | Oak Brook, IL 60523-1806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 08/07/2007 |