MORRIS HOSPITAL (NPI# 1275648511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275648511 |
| Entity Type | Organization |
| Organization Name | MORRIS HOSPITAL |
| Other Organization Name | MORRIS HOSPITAL & HEALTHCARE CENTERS |
| Practice Address |
25259 S Reed St Channahon IL 60410 |
| Mailing Address |
725 School St Ste A Morris IL 60450-1207 |
| Practice Telephone | 8154670555 |
| Practice Fax Number | 8154679823 |
| Mailing Telephone | 8159419124 |
| Mailing Fax Number | 8159419128 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | MARK STEADHAM (CEO) |
| Authorized Official Telephone | 8159422932 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | Y |
| Parent Organization Name | MORRIS HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
036106892 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Morris Hospital & Healthcare Centers | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 389 E Main St, Braidwood, IL 604082010 | 8154582532 | 8154582455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578965489 | Morris Hospital | Pharmacy | 150 W High St, Morris, IL 60450 | 2014-09-23 |
| 1295882793 | Morris Hospital | General Acute Care Hospital | 150 W High St, Morris, IL 60450-1463 | 2007-01-05 |
| 1003916412 | Morris Hospital | Clinical Medical Laboratory | 150 W High St, Morris, IL 60450-1463 | 2006-09-25 |
| 1649370057 | Morris Hospital | Dietitian, Registered | 150 W High St, Morris, IL 60450 | 2006-09-25 |
| 1700986742 | Morris Hospital | Clinic/Center | 1600 W Us Route 6, Morris, IL 60450-8854 | 2006-09-22 |
| 1720185150 | Morris Hospital | Clinic/Center | 1600 W Us Route 6, Morris, IL 60450 | 2006-09-20 |
| 1558466268 | Morris Hospital | Dietitian, Registered | 150 W High St, Morris, IL 60450-1463 | 2006-09-14 |
| 1376658658 | Morris Hospital | Clinic/Center | 1345 Edwards St Ste 1, Morris, IL 60450 | 2006-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MORRIS HOSPITAL | 150 W High St, Morris, IL 60450-1463 |
| Street Address |
25259 S REED ST |
| City | CHANNAHON |
| State | IL |
| Zip Code | 60410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831550417 | Sarah Bojak | Nurse Practitioner | 25259 S Reed St, Channahon, IL 60410-6003 | 2016-03-10 |
| 1356779318 | Jennifer Greggain | Nurse Practitioner | 25259 S Reed St, Channahon, IL 60410-6003 | 2013-10-29 |
| 1558506196 | Belinda Serrano | Family Medicine | 25259 S Reed St, Channahon, IL 60410-6003 | 2008-12-11 |
| 1346415908 | Isaac Mezo | Psychiatry & Neurology | 25259 S Reed St, Channahon, IL 60410-6003 | 2008-04-24 |
| 1831376961 | Belal Hassan Said | Internal Medicine | 25259 S Reed St, Channahon, IL 60410-6003 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841792801 | Rhonda Richter | Health Educator | 24735 W. Eames St., Channahon, IL 60410 | 2018-03-06 |
| 1144513938 | Channahon Dui Services, LLC | Early Intervention Provider Agency | 23157 Thomas Dillon Drive, Channahon, IL 60410 | 2011-05-26 |
| 1205057452 | Brian Morrow | Physical Therapist | 26555 South Jacob Drive, Channahon, IL 60410 | 2007-05-02 |
| 1356567531 | Alvaro Pedraza | Family Medicine | 25220 W. Reed St., Channahon, IL 60410 | 2007-04-17 |
| 1548338320 | Kevin Breen | Dentist | 25206 W Reed St, Channahon, IL 60410 | 2006-12-01 |
| 1194811943 | Gustavo A Pedraza | Internal Medicine | 25220 W Reed St, Channahon, IL 60410 | 2006-10-05 |
| 1184686909 | Nuzhat Chalisa | Internal Medicine | 25259 Reed Street, Channahon, IL 60410 | 2006-04-05 |
| 1558594580 | Paula Susan Fillak | Dentist | 25214 W Reed St, Channahon, IL 60410 | 2009-08-25 |
| 1801823059 | Anna Piper | Emergency Medicine | 27240 W Saxony Dr, Channahon, IL 60410 | 2006-06-26 |
| 1942310446 | Edward Michael Pocius | Dentist | 25214 W Reed St, Channahon, IL 60410-0397 | 2006-08-30 |
| Find all providers in zip 60410 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1952929119 | Gray Healthcare Consulting Pllc | Clinic/Center | 57 Northgate Rd, Riverside, IL 60546-1638 | 2020-07-13 |
| 1225664683 | Men's Clinic, Pllc | Clinic/Center | 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 | 2020-03-18 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.