Most Relevant Information
Provider Data
| NPI Number: | 1003482761 |
| Provider Name: | WILLIE MORRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2021 |
| Last Updated: | 06/02/2021 |
Provider Practice Location
22205 PEACHTREE AVE
SAUK VILLAGE
IL
60411
Practice Location Phone/Fax
| Phone: | 7089536010 |
| Fax: |
Provider Mailing Location
22205 PEACH TREE AVE
SAUK VILLAGE
IL
604115157
Provider Mailing Phone/Fax
| Phone: | 7089546010 |
| Fax: |