Moss, Jonathan
Moss, Jonathan is an individual health care provider with primary practice located at 180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Moss, Jonathan can be contacted via phone (773) 834-4064.Contact Information
Primary practice address
180 Harvester Dr Ste 110
Burr Ridge IL 60527-6686
Phone: (773) 834-4064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036070793 | Illinois |
Profile Details
| NPI number | 1235294455 |
|---|---|
| LBN Legal business name | Moss, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Apr 13th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235294455 | NPPES |
| Illinois | MEDICAID | 036070793 |
Popular Providers
-
Apfelbaum, Jeffrey L
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Permut, Todd A
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Golden, Samuel
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Woo, Michael C
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Conrad, William G
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Schreider, Bruce D
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Bachman, Catherine R
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686 -
Livingstone, Muddamalle
180 Harvester Dr Ste 110 , Burr Ridge IL 60527-6686