Moon'S Regional Medical Center, S.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MOON'S REGIONAL MEDICAL CENTER, S.C.

Practice address

270 E. Center Dr.
Suite 120
Vernon Hills, IL 60061-1564

Phone

(224) 513-5457

Fax

(224) 513-5458

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Sook K. Moon

Title

Manager

Phone

(224) 513-5457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1508064957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E. CENTER DR.",
            "address_2": "SUITE 120",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611564",
            "telephone_number": "224-513-5457",
            "fax_number": "224-513-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E. CENTER DR.",
            "address_2": "SUITE 120",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611564",
            "telephone_number": "224-513-5457",
            "fax_number": "224-513-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON'S REGIONAL MEDICAL CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SOOK",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-513-5457"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Enrichmant Services
• Cynthia Neri Molina, RPH
• Molloy Chiropractic Center LTD
• Dennis Patrick Molloy, D.C.
• Ryan Patrick Molloy, D.C.
• Justice Moore
• Megan Maureen Moore, FNP
• Cassandra Rose Mora, DMD
• Cheryl Lee Mora, D.D.S.
• Michael David Mora, D.D.S.

• Ambulatory Surgical Clinic/Center in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.