James Gin Mo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036094035 Issued in IL

Practice address

4600 N Magnolia
Suite D
Chicago, IL 60640-4965

Phone

(773) 989-1885

Fax

(773) 989-9828

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
• Complete Care at Margate Park Nursing home, Chicago, IL, CCN 145881

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Harmony Medical and Wellness Center Inc

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1003848326
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation
• Thorek Memorial Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982643961
  Care Compare affiliation
• Uptown Care and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1114597275

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1962486571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N MAGNOLIA",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404965",
            "telephone_number": "773-989-1885",
            "fax_number": "773-989-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N MAGNOLIA",
            "address_2": "SUITE D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404965",
            "telephone_number": "773-989-1885",
            "fax_number": "773-989-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MO",
        "first_name": "JAMES",
        "middle_name": "GIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094035",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "L98992",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fezile Mnisi
• Rachel Mnushkin
• Mo Med Supply LLC
• Mo S Wellness Clinic LLC
• Cailian Mo
• Koany C Mo, D.O.
• Samuel Mo, MD
• Golbarg Moaddab, M.D.
• Christopher G Moag, PA-C
• Courtney G Moag, PA-C

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.