Provider Demographics
NPI:1508512393
Name:RMORRIS LLC
Entity Type:Organization
Organization Name:RMORRIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-544-5656
Mailing Address - Street 1:235 MANNHEIM RD
Mailing Address - Street 2:
Mailing Address - City:BELLWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60104-1339
Mailing Address - Country:US
Mailing Address - Phone:708-544-5656
Mailing Address - Fax:708-544-5669
Practice Address - Street 1:235 MANNHEIM RD
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:IL
Practice Address - Zip Code:60104-1339
Practice Address - Country:US
Practice Address - Phone:708-544-5656
Practice Address - Fax:708-544-5669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental