Individual
DR. SCOTT RICHARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(708) 283-5500
(847) 723-0118
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.171872
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5151015314
MI
207RI0200X
Infectious Disease Physician
NA
NJ
Other
Enumeration date
05/20/2015
Last updated
11/27/2024
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