Provider Demographics
NPI:1154595882
Name:MORRIS AUDIOLOGY INC.
Entity type:Organization
Organization Name:MORRIS AUDIOLOGY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC A
Authorized Official - Phone:815-941-4700
Mailing Address - Street 1:1802 DIVISION ST STE 509
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:IL
Mailing Address - Zip Code:60450-3107
Mailing Address - Country:US
Mailing Address - Phone:815-941-4700
Mailing Address - Fax:815-941-4700
Practice Address - Street 1:3605 N STATE ROUTE 47 STE F
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-8218
Practice Address - Country:US
Practice Address - Phone:815-941-4700
Practice Address - Fax:915-941-0493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL361647545001Medicaid
IL361647545001Medicaid