Moo-Young, Tricia

Moo-Young, Tricia is an individual health care provider with primary practice located at 2650 Ridge Ave Walgreen Building Suite 2507, Evanston IL 60201-1718. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Moo-Young, Tricia can be contacted via phone (847) 570-1316.

Contact Information

Primary practice address
2650 Ridge Ave Walgreen Building Suite 2507 Evanston IL 60201-1718
Phone: (847) 570-1316
Fax: (847) 570-2930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2004028841 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 036.123221 Illinois

Profile Details

NPI number 1215952650
LBN Legal business name Moo-Young, Tricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215952650 NPPES
Missouri MEDICAID 207547605

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