Individual provider · Type 1 NPI

Kathryn Mary Moe, PA-C

Physician Assistant · Evanston, IL

NPI number 1760107023 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2475 Map

Fax (847) 570-2942

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085009284 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760107023

Kathryn Mary Moe, PA-C's National Provider Identifier is 1760107023, issued on Oct 10, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Sep 29, 2026.