Mary Ellen Moore


Address: 2648 W Pershing Rd, Chicago, IL 60632-1629

Mary Ellen Moore (NPI# 1487735940, PAC ID# 6709044076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1487735940
PAC ID by PECOS 6709044076
Professional Enrollment ID I20120220000292
Full Name Mary Ellen Moore
Address 2648 W Pershing Rd
Chicago
IL 60632-1629
Gender F
Graduation Year 1975
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2648 W Pershing Rd, Chicago, IL 60632-1629

Organization Information

Office Location

Street Address 2648 W PERSHING RD
City CHICAGO
State IL
Zip 60632-1629

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Name Specialty Organization Address
Richard Doyle Emergency Medicine Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
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Howard N Sankary General Surgery Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Jimena Beatriz Alvarez Soto Obstetrics/gynecology Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Joan M Roberts Certified Nurse Midwife Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Harveen K Soodan Family Practice Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Damaris Peralta Nurse Practitioner Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Edgar R Delcastillo Obstetrics/gynecology Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Candace L Nowak Osteopathic Manipulative Medicine Saint Anthony Health Affiliates 4177 S Archer Ave, Chicago, IL 60632-1849
Stanley Bialowas Internal Medicine 3939 S Kedzie Ave, Chicago, IL 60632-2446
Find all physicians in zip 60632

Competitor

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City CHICAGO
Zip Code 60632
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty CHICAGO + PSYCHOLOGIST, CLINICAL

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Dataset Information

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.

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