Morrill, Timothy David
Morrill, Timothy David is an individual health care provider with primary practice located at 4711 Golf Rd Ste 1200 , Skokie IL 60076-1200. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Morrill, Timothy David can be contacted via phone (847) 563-4488.Contact Information
Primary practice address
4711 Golf Rd Ste 1200
Skokie IL 60076-1200
Phone: (847) 563-4488
Fax: (847) 770-4484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 9343749 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 309012055 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | ARNP9343749 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 309012055 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP9343749 | Florida |
Profile Details
| NPI number | 1205263019 |
|---|---|
| LBN Legal business name | Morrill, Timothy David |
| Credentials | ARNP, CAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2013 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205263019 | NPPES |
| Florida | MEDICAID | 021671900 |
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