Philip a Moore MD Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036088408 Issued in IL

Legal business name

PHILIP A MOORE MD INC

Practice address

1551 Bond St
Ste 127
Naperville, IL 60563-0137

Phone

(630) 428-8750

Fax

(630) 428-8537

NPI assigned

Mar 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip A Moore, MD

Title

President

Phone

(630) 428-8750

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1013189471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BOND ST",
            "address_2": "STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630137",
            "telephone_number": "630-428-8750",
            "fax_number": "630-428-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BOND ST",
            "address_2": "STE 127",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605630137",
            "telephone_number": "630-428-8750",
            "fax_number": "630-428-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A MOORE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-428-8750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036088408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neila Petrovic
• Ronald Frank Petrucci, DDS
• Caroline Julie Petruk, LCSW
• Jayla Pettis
• Rose Pham, MPT
• Preeti Philip
• Jessica Suzanne Philips
• Karen Phipps, PT, DPT
• Phoenix Chiropractic LLC
• River Jane Phoenix, LCPC

• Legal Medicine in Naperville, IL
• Providers in Naperville, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.