Koany C Mo, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Practice address

60 E Delaware PL
15TH FL
Chicago, IL 60611-1495

Phone

(312) 440-5150

Fax

(312) 440-5151

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocate Southwest Ambulatory Surgery Center LLC

  dba Tinley Woods Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tinley Park, IL
  • NPI 1316009194
  NPD (past)
• Division Anesthesia Group PC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1437151057
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093895815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LBX 809274, PO BOX 809274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809274",
            "telephone_number": "773-445-9696",
            "fax_number": "773-445-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E DELAWARE PL",
            "address_2": "15TH FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111495",
            "telephone_number": "312-440-5150",
            "fax_number": "312-440-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MO",
        "first_name": "KOANY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mnushkin
• Mo Med Supply LLC
• Mo S Wellness Clinic LLC
• Cailian Mo
• James Gin Mo, MD
• Samuel Mo, MD
• Golbarg Moaddab, M.D.
• Christopher G Moag, PA-C
• Courtney G Moag, PA-C
• Tatyana K Moaton, MD

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.