Organization Active NPI

Stephen R Morse MD SC

  • Internal Medicine Physician
  • Deerfield, IL
National Provider Identifier
1124174859
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STEPHEN R MORSE MD SC
Practice address
400 Lake Cook Rd
Suite 221
Deerfield, IL 60015-5607
Phone
(847) 945-6430
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen R Morse, MD
Title
President
Phone
(847) 945-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

400 Lake Cook Rd
Suite 221
Deerfield, IL 60015-5607

Mailing address

125 Arrowwood Dr
Northbrook, IL 60062-1038
Phone (847) 272-8252

Other identifiers 1

IdentifierTypeStateIssuer
0004900631OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

400 Lake Cook Rd
Ste 221
Deerfield, IL 60015
Phone (847) 446-0951

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124174859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ARROWWOOD DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621038",
            "telephone_number": "847-272-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE COOK RD",
            "address_2": "SUITE 221",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155607",
            "telephone_number": "847-945-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R MORSE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-945-6430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004900631",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.