Provider Demographics
NPI:1790041382
Name:MORELL, ERIC ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANTHONY
Last Name:MORELL
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 1:240 E HURON ST # 1-200
Mailing Address - Street 2:MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2909
Mailing Address - Country:US
Mailing Address - Phone:312-472-3585
Mailing Address - Fax:312-472-3590
Practice Address - Street 1:240 E HURON ST # 1-200
Practice Address - Street 2:MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVERSITY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2909
Practice Address - Country:US
Practice Address - Phone:312-472-3585
Practice Address - Fax:312-472-3590
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA148273207L00000X
IL036140543207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology