Individual
DR. DOUGLAS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC5068, CHICAGO, IL 60637-1443
(773) 702-9500
(773) 702-3135
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01093440A
IN
207P00000X
Emergency Medicine Physician
Primary
036.168410
IL
207P00000X
Emergency Medicine Physician
31643
MN
207P00000X
Emergency Medicine Physician
72005
MN
Other
Enumeration date
03/09/2020
Last updated
07/01/2024
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