Individual
MICHAEL J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 E BRUSH HILL RD STE 310, ELMHURST, IL 60126-5662
(331) 221-9003
(331) 221-2743
Mailing address
4201 WINFIELD RD FL 4, WARRENVILLE, IL 60555-4025
(331) 221-6377
(331) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036101366
IL
207RP1001X
Pulmonary Disease Physician
Primary
036101366
IL
Other
Enumeration date
07/10/2006
Last updated
12/04/2024
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