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DR. MONICA ANNETTE MOORE M.D NPI 1912914490


NPI Information

NPI: 1912914490
Provider Name: DR. MONICA ANNETTE MOORE, M.D
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
41 E 8TH ST
CHICAGO, IL
ZIP 60605
Phone: (312) 212-9000
Get Directions

DR. Monica Annette Moore, M.D is a gynecology obstetrics gynecology in Chicago, IL with 30 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Monica Annette Moore, M.D NPI is 1912914490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

41 E 8TH ST
CHICAGO, IL
ZIP 60605-168
Phone: (312) 212-9000
Fax: (312) 212-9003

The NPI 1912914490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/11/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology036-096183ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
136-4454907OTHERILLINOISMAM MD CORP TIN
2036-096183MEDICAIDILLINOIS
3G89320MEDICARE UPINILLINOIS
4K37695MEDICARE OSCAR/CERTIFICATIONILLINOIS
5997080MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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