Provider Demographics
NPI:1972640423
Name:MORCOS, ISAAC (ISAAC MORCOS,MD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:MORCOS
Suffix:
Gender:M
Credentials:ISAAC MORCOS,MD
Other - Prefix:
Other - First Name:ISAAC
Other - Middle Name:
Other - Last Name:MORCOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ISAAC C MORCOS,MD
Mailing Address - Street 1:PO BOX 59306
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15900 S CICERO ST.
Practice Address - Street 2:OAK FOREST HOSPITAL OF COOK COUNTY
Practice Address - City:OAK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60452
Practice Address - Country:US
Practice Address - Phone:708-687-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG51945Medicaid
ILG51945Medicaid
ILG51945Medicare ID - Type Unspecified