Active NPI
Lisabeth N. Morrisroe
- Family Nurse Practitioner
- Wauconda, IL
National Provider Identifier
1508336918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018859
- Practice address
- 431 W Liberty St
Wauconda, IL 60084-2452 - Phone
- (847) 526-2151
- Fax
- (847) 526-2017
- NPI assigned
- Nov 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018859 | IL | Primary |
Addresses
Primary practice location
431 W Liberty St
Wauconda, IL 60084-2452
Mailing address
PO Box 6037
Wauconda, IL 60084-6037
Phone (847) 526-2151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| Toofan Medical Holdings, LTD. | Current | Accepting new patients | |
| Toofan Medical Holdings, LTD | Current | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
2530 N Monroe St
Decatur, IL 62526
Phone (217) 875-0920
1001 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 994-9301
3450 Oakton St
Ste 300
Skokie, IL 60076
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Urgent Care Clinic/Center
- Mattoon, IL
- NPI 1396578092
-
- Urgent Care Clinic/Center
- Effingham, IL
- NPI 1396179693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1508336918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6037",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600846037",
"telephone_number": "847-526-2151",
"fax_number": "847-526-2017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W LIBERTY ST",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600842452",
"telephone_number": "847-526-2151",
"fax_number": "847-526-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISROE",
"first_name": "LISABETH",
"middle_name": "N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-28",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209018859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauconda, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.