Individual provider Active NPI

Patrick Joseph Morris, D.C.

  • Chiropractor
  • Lake Zurich, IL
National Provider Identifier
1104999515
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008482 Issued in IL
Practice address
72 South Old Rand Road
Suite 2
Lake Zurich, IL 60047-2359
Phone
(847) 721-2933
Fax
(206) 984-3218
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008482 IL Primary

Addresses

Primary practice location

72 South Old Rand Road
Suite 2
Lake Zurich, IL 60047-2359

Mailing address

72 S Old Rand Rd
Suite 2
Lake Zurich, IL 60047-3129
Phone (847) 721-2933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000161 IL Practitioner - Chiropractic 8426018854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-008482ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Illinois Medical PC CurrentSince May 5, 2025 Accepting new patients
Premise Health of Illinois Medical PC Current Accepting new patients
Premise Health of Illinois Medical PC CurrentSince May 5, 2025 Accepting new patients
North Suburban Medical S.C. PastSince Aug 30, 2004 Accepting new patients
Chicago Functional Neurology Group, LTD. Chiropractor PastSince Jan 19, 2015 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

1170 E Belvidere Rd
Ste 105
Grayslake, IL 60030
Phone (847) 548-4010

4979 Indiana Ave
Lisle, IL 60532
Phone (312) 337-4150

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1104999515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S OLD RAND RD",
            "address_2": "SUITE 2",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473129",
            "telephone_number": "847-721-2933",
            "fax_number": "206-984-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SOUTH OLD RAND ROAD",
            "address_2": "SUITE 2",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472359",
            "telephone_number": "847-721-2933",
            "fax_number": "206-984-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.