Individual
NANI PHILLIPS MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(224) 251-2374
Mailing address
47 NEW SCOTLAND AVE, DEPARTMENT OF OB/GYN, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.148810
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
070669
CT
390200000X
Student in an Organized Health Care Education/Training Program
036148810
IL
390200000X
Student in an Organized Health Care Education/Training Program
63640
NY
Other
Enumeration date
04/05/2015
Last updated
05/16/2022
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