Active NPI
Janaan Schmuhl Moore, AU.D.
- Audiologist
- Chicago, IL
National Provider Identifier
1588936520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147000348
- Practice address
- 180 N Michigan Ave Ste 1616
Chicago, IL 60601-7401 - Phone
- (312) 229-4040
- Fax
- (312) 201-1202
- NPI assigned
- Feb 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 147000348 | IL | Primary |
Addresses
Primary practice location
180 N Michigan Ave Ste 1616
Chicago, IL 60601-7401
Mailing address
538 S Edgewood Ave
La Grange, IL 60525-6133
Phone (708) 482-9091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147000348 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Ear Nose and Throat - Head and Neck Surgery Associates LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Orland Park, IL
- NPI 1629174834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1588936520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 S EDGEWOOD AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605256133",
"telephone_number": "708-482-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N MICHIGAN AVE STE 1616",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017401",
"telephone_number": "312-229-4040",
"fax_number": "312-201-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "JANAAN",
"middle_name": "SCHMUHL",
"name_prefix": "Mrs.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-07",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147000348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.