Individual provider · Type 1 NPI

Matthew Craig Moss, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1104169150 Active

Practice location

2525 S Michigan Ave, Mercy Hospital And Medical Center
Chicago, IL 60616-2333

Call (312) 567-2011 Map

Mailing address

7353 North Ave. #2F
River Forest, IL 60305

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3900200000X (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104169150

Matthew Craig Moss, MD's National Provider Identifier is 1104169150, issued on Mar 28, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 28, 2013.