Individual
DR. DAVID D MORIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 N HAMMES AVE, JOLIET, IL 60435-8145
(815) 741-3220
(815) 741-3814
Mailing address
219 N HAMMES AVE, JOLIET, IL 60435-8145
(815) 741-3220
(815) 741-3814
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-076648
IL
207W00000X
Ophthalmology Physician
Primary
036076648
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076648
—
IL
01
—
9900200
BCBS
IL
Enumeration date
04/13/2006
Last updated
10/31/2025
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