Moore, Jason

Moore, Jason is an individual health care provider with primary practice located at 3249 S. Oak Park Ave , Berwyn IL 60402. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Moore, Jason can be contacted via phone (708) 783-9100.

Contact Information

Primary practice address
3249 S. Oak Park Ave Berwyn IL 60402
Phone: (708) 783-9100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.326041 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209.007162 Illinois

Profile Details

NPI number 1477711133
LBN Legal business name Moore, Jason
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jun 19th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477711133 NPPES
Illinois Other P01211517 RAILROAD MEDICARE

Popular Providers