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JENNIFER B MORAN M.D. NPI 1710930276


NPI Information

NPI: 1710930276
Provider Name: JENNIFER B MORAN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
471 W ARMY TRAIL RD
SUITE 103
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 980-3366
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Jennifer B Moran, M.D. is an obstetrics gynecology in Bloomingdale, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jennifer B Moran, M.D. NPI is 1710930276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

471 W ARMY TRAIL RD
SUITE 103
BLOOMINGDALE, IL
ZIP 60108-628
Phone: (630) 980-3366
Fax: (630) 980-3686

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/14/2011.


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
1207V00000XObstetrics & Gynecology036-096586ILLINOISYes

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
1H08471MEDICARE UPINILLINOIS

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: 11/14/2023

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