Individual
PATRICIA L. MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2780 MCFARLAND RD, ROCKFORD, IL 61107-6807
(815) 971-2000
(815) 637-0400
Mailing address
2780 MCFARLAND RD, ROCKFORD, IL 61107-6807
(815) 971-2000
(815) 637-0400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036103063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103063
—
IL
Enumeration date
01/10/2007
Last updated
07/09/2015
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