Elizabeth D Moore is a Medical in Peoria, Illinois. Elizabeth D Moore practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth D Moore is 1265543391. The last update date is 2007-07-08.
Elizabeth D Moore's current location address is 8940 N Wood Sage Road, Peoria, Illinois. You can contact this provider via phone number 3092433000 and fax number 3092433050. The mailing address for Elizabeth D Moore is 8940 N Wood Sage Road, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth D Moore |
|---|---|
| Address | 8940 N Wood Sage Road, Peoria, Illinois |
| Phone Number | 3092433000 |
| Fax Number | 3092433050 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1265543391 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8940 N Wood Sage Road |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 61615 |
| Phone Number | 3092433000 |
| Fax Number | 3092433050 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Elizabeth D Moore by the Centers for Medicare & Medicaid Services?
The Elizabeth D Moore has been assigned the NPI (National Provider Identifier) 1265543391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Elizabeth D Moore's physical address?
The Elizabeth D Moore is physically located at 8940 N Wood Sage Road, in the city of Peoria, IL, with the postal code 61615.
What is Elizabeth D Moore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elizabeth D Moore's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did Elizabeth D Moore receive its 1265543391 assignment?
The Elizabeth D Moore was assigned its 1265543391 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Elizabeth D Moore most recently updated or revised?
The information pertaining to Elizabeth D Moore, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.