Deshon T Moore (NPI# 1417392739, PAC ID# 3577704527) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1417392739 |
| PAC ID by PECOS | 3577704527 |
| Professional Enrollment ID | I20130802000382 |
| Full Name | Deshon T Moore |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Address |
17800 Kedzie Ave Hazel Crest IL 60429-2029 |
| Phone Number | 7087998000 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7810800935 |
| Number of Group Practice Members | 1681 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140250 | ADVOCATE SOUTH SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 7087998000 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Organization Legal Name | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Physicians | 1766 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Renee Jorgenson | Internal Medicine | Advocate Health and Hospitals Corporation | 4025 N Western Ave, Chicago, IL 60618-3726 |
| Philip C Gutsell | Family Medicine | Advocate Health and Hospitals Corporation | 4600 N Ravenswood Ave, Chicago, IL 60640-4510 |
| Jaclyn Catanese | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1425 N Randall Rd, Elgin, IL 60123-2300 |
| Michael John Duchaj | Physical Therapy | Advocate Health and Hospitals Corporation | 13900 Quality Dr, Huntley, IL 60142-8098 |
| Andrea Pawlak | Nurse Practitioner | Advocate Health and Hospitals Corporation | 4740 W 95th St, Oak Lawn, IL 60453-2530 |
| Mandy Fila | Registered Dietitian Or Nutrition Professional | Advocate Health and Hospitals Corporation | 2210 W 95th St, Chicago, IL 60643-1002 |
| Ilia Rosa Sumoza | Hematology/oncology | Advocate Health and Hospitals Corporation | 2622 83rd St, Darien, IL 60561-1661 |
| Lara K Nicol | Family Medicine | Advocate Health and Hospitals Corporation | 2511 N Kedzie Blvd, Chicago, IL 60647-2603 |
| Julieta Lasala | Family Medicine | Advocate Health and Hospitals Corporation | 100 W 162nd St, Advocate Medical Group South Holland, South Holland, IL 60473-2003 |
| Kelly L Perisin | Nurse Practitioner | Advocate Health and Hospitals Corporation | 910 N Rand Rd, Lake Zurich, IL 60047-3201 |
| Street Address |
17800 KEDZIE AVE |
| City | HAZEL CREST |
| State | IL |
| Zip | 60429-2029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sumar Abushaqra | Nurse Practitioner | Advocate Health and Hospitals Corporation | 17800 Kedzie Ave, Hazel Crest, IL 60429-0989 |
| Sandhya Nagubadi | Internal Medicine | Asad Zaman Md Sc | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Lindy Triebes | Emergency Medicine | Advocate Health and Hospitals Corporation | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| David A Dreyfuss | Plastic and Reconstructive Surgery | Suburban Wound Care Associates LLC | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Sarah Kathleen Philipp | Emergency Medicine | Advocate Health and Hospitals Corporation | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Betty J Riehl Schmidt | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesiologists Ltd | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Charles Van Slambrouck | Pathology | Midwest Diagnostic Pathology, S.c. | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Laura B Murray | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesiologists Ltd | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Thomas John | Ophthalmology | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| Hannah F Watts | Emergency Medicine | Advocate Health and Hospitals Corporation | 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Subba V Rao | Thoracic Surgery | 17850 S Kedize Ave, Suite 2200, Hazel Crest, IL 60429 | |
| Heather N Thomas | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 3330 W 17th St, Hazel Crest, IL 60429 |
| Cayla O'dowd | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 3330 W 17th St, Hazel Crest, IL 60429 |
| Richard Bloomberg | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 3330 W 17th St, Hazel Crest, IL 60429 |
| Tala K Fletcher | Physical Therapy | Athletic and Therapeutic Institute of Naperville LLC | 3330 W 17th St, Hazel Crest, IL 60429 |
| Daniel Richard Lang | Physical Therapy | Physical Therapy and Sports Injury Rehabilitation, Ltd | 1816 170th St, Hazel Crest, IL 60429-1451 |
| Jonathan Dharamsy | Physical Therapy | Physical Therapy and Sports Injury Rehabilitation, Ltd | 1816 170th St, Hazel Crest, IL 60429-1451 |
| James Anthony Lopiccolo | Physical Therapy | Physical Therapy and Sports Injury Rehabilitation, Ltd | 1816 170th St, Hazel Crest, IL 60429-1451 |
| Robert Dompeling | Physical Therapy | Physical Therapy and Sports Injury Rehabilitation, Ltd | 1816 170th St, Hazel Crest, IL 60429-1451 |
| Candice Joy Jager | Physical Therapy | Physical Therapy and Sports Injury Rehabilitation, Ltd | 1816 170th St, Hazel Crest, IL 60429-1451 |
| Find all physicians in zip 60429 | |||
| City | HAZEL CREST |
| Zip Code | 60429 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | HAZEL CREST + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Deshon T Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.