DR. JEFFREY MICHAEL MOORE (NPI# 1538273909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538273909 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY MICHAEL MOORE |
| Credential | DC |
| Practice Address |
333 Commerce Dr Ste 175 Crystal Lake IL 60014-3596 |
| Practice Telephone | (815) 245-4624 |
| Mailing Telephone | (815) 245-4624 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-004398 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 05632146 | 01 |
| IL | LISCENSE TO PRACTICE CHIR | 038-004398 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9224 Trinity Dr, Lake In The Hills, IL 601561664 | 8478544722 | 8474585953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326399478 | Jeffrey David Moore | Physical Therapist | 700 Us Hwy 24 S, Buena Vista, CO 81211 | 2012-09-28 |
| 1023305109 | Jeffrey George Moore | Anesthesiology | 1433 Caring Ct, Maitland, FL 32751-4252 | 2011-07-08 |
| 1013233345 | Jeffrey Scott Moore | Social Worker | 430 E 450 S, Clearfield, UT 84015-1736 | 2010-04-12 |
| 1295991529 | Jeffrey W Moore | Dentist | 4011 E Renner Rd Ste 107, Richardson, TX 75082-2917 | 2008-08-06 |
| 1447318803 | Jeffrey Morgan Moore | Dentist | 11765 Mcminnville Hwy, Walling, TN 38587 | 2006-12-05 |
| 1003981085 | Jeffrey M Moore | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2006-11-22 |
| 1821196478 | Jeffrey K Moore | Orthopaedic Surgery | 4218-m Arendell St, Morehead City, NC 28557-2805 | 2006-09-20 |
| 1720013089 | Jeffrey Karl Moore Sr. | Medical Genetics, Ph.D. Medical Genetics | 514 Fisk St, Nashville, TN 37203-2846 | 2006-07-12 |
| 1447275557 | Jeffrey Moore | Optometrist | 4455 Cleveland Ave Ste A, Fort Myers, FL 33901-9057 | 2006-07-12 |
| 1922036433 | Jeffrey 'kent' Moore | Chiropractor | 2925 W Walnut St, Rogers, AR 72756-0338 | 2006-06-30 |
| Street Address |
333 COMMERCE DR STE 175 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292278 | Agata M Foreman | Massage Therapist | 333 Commerce Dr Ste 175, Crystal Lake, IL 60014-3596 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679967434 | Ali M Dia | Chiropractor | 30 N Williams St, Crystal Lake, IL 60014-4471 | 2015-03-19 |
| 1083036693 | Barbara Allegretti | Chiropractor | 1500 Carlemont Dr Ste M, Crystal Lake, IL 60014-1833 | 2014-01-16 |
| 1134556822 | Crystal Lake Natural Health Care | Chiropractor | 30b N Williams St, Crystal Lake, IL 60014 | 2013-09-26 |
| 1881038040 | Sean Patrick Gilmore | Chiropractor | 30 B North Williams Street, Crystal Lake, IL 60014-4471 | 2013-04-18 |
| 1811266554 | Superior Health and Wellness of Crystal Lake, Ltd. | Chiropractor | 6119 Northwest Hwy Ste B, Crystal Lake, IL 60014-7911 | 2011-12-27 |
| 1942448451 | Dynamic Health & Wellness, Ltd. | Chiropractor | 6119 Northwest Hwy, Suite B, Crystal Lake, IL 60014-7911 | 2009-01-22 |
| 1003052085 | First Choice Family Health | Chiropractor | 35 Berkshire Dr Ste 12, Crystal Lake, IL 60014-7700 | 2008-12-23 |
| 1104090661 | Laura Ann Crane | Chiropractor | 405 E Congress Pkwy Ste C, Crystal Lake, IL 60014-6229 | 2008-04-16 |
| 1336330208 | Gretchen Graham | Chiropractor | 930 Pyott Rd, Suite 102, Crystal Lake, IL 60014-8720 | 2007-08-06 |
| 1154530947 | Ivers Chiropractic, Inc. | Chiropractor | 1024 Mchenry Ave, Suite E, Crystal Lake, IL 60014-7477 | 2007-05-21 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DR. JEFFREY MICHAEL MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.