Individual
JASON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3249 S. OAK PARK AVE, BERWYN, IL 60402
(708) 783-9100
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.326041
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.007162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01211517
RAILROAD MEDICARE
IL
Enumeration date
05/29/2008
Last updated
06/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us