Individual provider Active NPI

Kathleen M Morno, M.D.

  • Ophthalmology Physician
  • North Riverside, IL
National Provider Identifier
1942247770
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036105394 Issued in IL
Practice address
9005 W Cermak Rd
North Riverside, IL 60546-1017
Phone
(708) 442-8010
Fax
(708) 442-8009
NPI assigned
Jun 1, 2006
Last updated
Nov 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036105394 IL Primary

Addresses

Primary practice location

9005 W Cermak Rd
North Riverside, IL 60546-1017

Mailing address

9005 W Cermak Rd
North Riverside, IL 60546-1017
Phone (708) 442-8010

Other names 1

  • Mrs. Kathleen M Morno Moody Other name

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
I20040925000144 IL Practitioner - Ophthalmology 7911976170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ritacca Cosmetic Surgery and Medspa LTDGroup PAC ID 3072775840, 4 clinicians

Practice addresses (Care Compare)

230 Ctr Dr
Vernon Hills, IL 60061-1584
Phone (847) 367-8815

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ritacca Cosmetic Surgery & Medspa, LTD Ophthalmology CurrentSince May 18, 2013 Accepting new patients
Benjamin Eye Care Past Accepting new patients
Benjamin Eye Care Ophthalmology PastSince Jan 1, 2009 Accepting new patients
The Vision Institute of Illinois, Inc Ophthalmology PastSince Aug 1, 2014 Accepting new patients
Ritacca Laser Center LTD Past Accepting new patients
Specialty Care Institute, PLLC PastSince Jun 30, 2012 Accepting new patients

Locations

230 Center Dr
Vernon Hills, IL 60061
Phone (847) 367-8764

230 Center Dr
Lowr
Vernon Hills, IL 60061
Phone (847) 367-8764

230 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 367-8815

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1942247770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461017",
            "telephone_number": "708-442-8010",
            "fax_number": "708-442-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 W CERMAK RD",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461017",
            "telephone_number": "708-442-8010",
            "fax_number": "708-442-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNO",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036105394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MORNO MOODY",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Riverside, IL

Sources for this page

Verify at the official NPI Registry.