Individual
JALEA T MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-3055
(312) 926-2000
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
(401) 444-4000
(401) 427-7795
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125075500
IL
207P00000X
Emergency Medicine Physician
1447888466
IL
207P00000X
Emergency Medicine Physician
Primary
MD19996
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
06/06/2024
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