MEDICARE: DR. JILL MOORE DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	503572	MD
2	111N00000X	Chiropractor	S03572	MD

General Provider Information

NPI Number	:	1124266101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL MOORE DC

Provider Business Mailing Address
First Line	:	1213 MIDWOOD CT
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-2546
Country	:	US
Telephone Number	:	410-790-8524
Fax Number	:

Provider Business Practice Location Address
First Line	:	1213 MIDWOOD CT
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-2546
Country	:	US
Telephone Number	:	410-790-8524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	06/18/2026

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Directions to “ DR. JILL MOORE DC” Practice Location

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