Provider Demographics
NPI:1033111042
Name:MORRIS, ARTHUR M (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1557
Mailing Address - Country:US
Mailing Address - Phone:630-974-5230
Mailing Address - Fax:630-368-0320
Practice Address - Street 1:120 W 22ND ST
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1557
Practice Address - Country:US
Practice Address - Phone:630-974-5230
Practice Address - Fax:630-368-0320
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036041426207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1616108OtherBCBS
IL036041426Medicaid
ILC30486Medicare PIN
IL1616108OtherBCBS
ILD12439Medicare UPIN
IL922820Medicare PIN
IL036041426Medicaid