Keith A Moss in Bourbonnais - Internal Medicine
Keith A Moss - NPI 1588601819
Keith A Moss is a Internal Medicine in Bourbonnais, Illinois. Keith A Moss practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith A Moss is 1588601819. The last update date is 2022-10-25.
Keith A Moss's current location address is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. You can contact this provider via phone number 8159352784 and fax number 8159355687. The mailing address for Keith A Moss is 400 Riverside Dr Ste 2100, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith A Moss |
|---|---|
| Address | 400 Riverside Dr Ste 2100, Bourbonnais, Illinois |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588601819 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2022-10-25 |
Provider Mailing Address Detail
| Address | 400 Riverside Dr Ste 2100 |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609145004 |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36105851 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361058512 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keith A Moss by the Centers for Medicare & Medicaid Services?
The Keith A Moss has been assigned the NPI (National Provider Identifier) 1588601819 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Keith A Moss's facilities are geographically located?
The facilities of Keith A Moss are physically situated at the following location: 400 Riverside Dr Ste 2100, Bourbonnais, IL, 609145004.
What is Keith A Moss's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith A Moss is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588601819 to Keith A Moss?
The Centers for Medicare & Medicaid Services assigned the 1588601819 to Keith A Moss on 2006-06-02.
When was the Keith A Moss's information last updated?
The Keith A Moss's information was last updated on 2022-10-25.