Individual provider Active NPI

Mark W Morrison, M.D.

  • Obstetrics & Gynecology Physician
  • Bloomingdale, IL
National Provider Identifier
1588698443
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-072691 Issued in IL
Practice address
471 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2628
Phone
(630) 980-3366
Fax
(630) 980-3686
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-072691 IL Primary

Addresses

Primary practice location

471 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2628

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
036072691MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmorrison134589@dulyhealthandcare.direct-ci.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222001088 IL Practitioner - Obstetrics/Gynecology 6800054750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

471 W Army Trail Rd
Suite 103
Bloomingdale, IL 60108-2628
Phone (630) 980-3366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-072691ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jun 1, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Jun 1, 2017 Accepting new patients

Locations

471 W Army Trail Rd
Ste 10
Bloomingdale, IL 60108
Phone (630) 980-3366

471 W Army Trail Rd
Ste 103
Bloomingdale, IL 60108
Phone (630) 980-3366

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

471 W Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 980-3366

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

636 Raymond Dr
Ste 100
Naperville, IL 60563
Phone (630) 548-3366

808 Rickert Dr
Ste 202
Naperville, IL 60540
Phone (630) 961-4155

Interoperability endpoints

  • Direct secure messaging: mmorrison134589@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1588698443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W ARMY TRAIL RD",
            "address_2": "SUITE 103",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082628",
            "telephone_number": "630-980-3366",
            "fax_number": "630-980-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-072691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072691",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmorrison134589@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "471 W Army Trail Rd",
            "address_2": "SUITE 103",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601082628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.