Active NPI
William a Moran MD LLC
- Internal Medicine Physician
- Arlington Heights, IL
National Provider Identifier
1366538274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036106016
- Legal business name
- WILLIAM A MORAN MD LLC
- Practice address
- 605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377 - Phone
- (847) 394-4930
- Fax
- (847) 394-8505
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William A Moran, MD
- Title
- President
- Phone
- (847) 394-4930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036106016 | IL | Primary |
Addresses
Primary practice location
605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377
Mailing address
605 W Central Rd
Suite 100
Arlington Heights, IL 60005-2377
Phone (847) 394-4930
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036106016 | Medicaid | IL | |
| 01633940 | Other | IL | BCBS OF IL |
National Provider Directory
National Provider DirectoryLocations
605 W Central Rd
Ste 100
Arlington Hts, IL 60005
Phone (847) 394-4930
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Arlington Heights, IL
- NPI 1508931767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352246400000",
"number": "1366538274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 W CENTRAL RD",
"address_2": "SUITE 100",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052377",
"telephone_number": "847-394-4930",
"fax_number": "847-394-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 W CENTRAL RD",
"address_2": "SUITE 100",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052377",
"telephone_number": "847-394-4930",
"fax_number": "847-394-8505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM A MORAN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2012-11-07",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-394-4930",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036106016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036106016",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IL",
"identifier": "01633940",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.