CAROLE C MORRISSEY FNP NPI 1306062245

NPI Information

NPI: 1306062245
Provider Name: CAROLE C MORRISSEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2525 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616
Phone: (312) 567-7945
Get Directions

Carole C Morrissey, FNP is a family nurse practitioner in Chicago, IL. Carole C Morrissey, FNP NPI is 1306062245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616-315
Phone: (312) 567-7945
Fax: (312) 567-6682

The NPI 1306062245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 5/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	209000934	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209000934	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	209000934	OTHER	ILLINOIS	STATE LICENSE
2	041185842	OTHER	ILLINOIS	RN LICENSE
3	950150014	OTHER	ILLINOIS	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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