Willard D. Moore in Rockford - Internal Medicine

Willard D. Moore - NPI 1831209022

Willard D. Moore is a Internal Medicine in Rockford, Illinois. Willard D. Moore practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Willard D. Moore is 1831209022. The last update date is 2010-01-21.

Willard D. Moore's current location address is 3401 N Perryville Rd, Rockford, Illinois. You can contact this provider via phone number 8159712000. The mailing address for Willard D. Moore is 3401 N Perryville Rd, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Willard D. Moore
Address 3401 N Perryville Rd, Rockford, Illinois
Phone Number 8159712000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1831209022
Provider Enumeration Date 2006-08-30
Last Updated Date 2010-01-21

Provider Mailing Address Detail

Address 3401 N Perryville Rd
City Rockford
State Illinois (IL)
Post Code 611148011
Phone Number 8159712000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 036-050851
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36050851 IL --

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FAQs about Willard D. Moore

What is the unique 10-digit identification code assigned to Willard D. Moore by the Centers for Medicare & Medicaid Services?

The Willard D. Moore has been issued the NPI (National Provider Identifier) 1831209022, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Willard D. Moore?

The Willard D. Moore is physically situated at 3401 N Perryville Rd, in the city of Rockford, state of IL, with the postal code 611148011.

What is the Willard D. Moore's area of specialization and corresponding taxonomy classification?

The Willard D. Moore's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did the Willard D. Moore receive the assignment of its 1831209022 from the Centers for Medicare & Medicaid Services?

The Willard D. Moore was issued its 1831209022 by the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the information related to Willard D. Moore most recently updated or refreshed?

The details pertaining to the Willard D. Moore, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-01-21.

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