Individual
MATTHEW CRAIG MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, MERCY HOSPITAL AND MEDICAL CENTER, CHICAGO, IL 60616-2333
(312) 567-2011
Mailing address
7353 NORTH AVE. #2F, RIVER FOREST, IL 60305
(818) 321-9464
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
3900200000X
IL
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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