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NPI Code Detail

MEDICARE: JAMES M MOSS MD

MEDICARE:   JAMES M MOSS  MD
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
1207K00000XAllergy & Immunology Physician036-07059IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21617373OTHERILBCBS OF IL

General Provider Information

NPI Number : 1194725291
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES M MOSS MD
Provider Business Mailing Address
First Line : 800 BIESTERFIELD RD
Second Line : SUITE 510
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3361
Country : US
Telephone Number : 847-981-3660
Fax Number : 847-956-5108
Provider Business Practice Location Address
First Line : 800 BIESTERFIELD RD
Second Line : SUITE 510
City : ELK GROVE VILLAGE
State : IL
Zip : 60007-3361
Country : US
Telephone Number : 847-981-3660
Fax Number : 847-956-5108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 04/06/2021

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