Provider Demographics
NPI:1306243167
Name:CHRISTINA J. SCALISE MORRISSEY
Entity type:Organization
Organization Name:CHRISTINA J. SCALISE MORRISSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:JOSEPHINE
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:630-853-3374
Mailing Address - Street 1:11 W BIRCHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2804
Mailing Address - Country:US
Mailing Address - Phone:630-853-3374
Mailing Address - Fax:630-789-8852
Practice Address - Street 1:11 W BIRCHWOOD AVE
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2804
Practice Address - Country:US
Practice Address - Phone:630-853-3374
Practice Address - Fax:630-789-8852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL9284671225X00000X
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty