Individual
JAMES M MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Mailing address
800 BIESTERFIELD RD, SUITE 510, ELK GROVE VILLAGE, IL 60007-3361
(847) 981-3660
(847) 956-5108
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036-07059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070259
—
IL
01
—
1617373
BCBS OF IL
IL
Enumeration date
07/29/2005
Last updated
04/06/2021
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