Provider Demographics
NPI:1285707935
Name:MORRISON, CAROLINE M (MD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1288 RICKERT DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-0951
Mailing Address - Country:US
Mailing Address - Phone:630-983-8920
Mailing Address - Fax:630-983-4839
Practice Address - Street 1:1288 RICKERT DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-0951
Practice Address - Country:US
Practice Address - Phone:630-983-8920
Practice Address - Fax:630-983-4839
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILDE4320OtherRAILROAD MEDICARE GROUP
ILP00292499OtherRAILROAD MEDICARE ID
ILP00292499OtherRAILROAD MEDICARE ID
IL951570Medicare ID - Type UnspecifiedVALID BEFORE 4/1/2006
IL213258Medicare ID - Type Unspecified