Michelle Moore
Nurse Practitioner (Primary Care)

Address: 458 N May St, Chicago, IL 60642-5819
Phone: 3128108896

Michelle Moore (NPI# 1043769268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043769268
Entity Type Individual
Full Name Michelle Moore
Gender Female
Practice Address 458 N May St
Chicago
IL 60642-5819
Practice Telephone 3128108896
Mailing Address 4025 N Sheridan Rd
Chicago
IL 60613-2010
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-09-29
Last Update Date 2016-11-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 209.014876 IL
No 363LG0600X Nurse Practitioner · Gerontology Physician Assistants & Advanced Practice Nursing Providers 209.014876 IL
Yes 363LP2300X Nurse Practitioner · Primary Care Physician Assistants & Advanced Practice Nursing Providers 209.014876 IL

Providers with the same name

NPI Name Taxonomy Address Enumeration
1295338135 Michelle Moore Student in an Organized Health Care Education/Training Program 22 Coleman Pl Apt 9, Menlo Park, CA 94025-2433 2020-11-20
1619501020 Michelle K Moore Driver 4179 Westbrook Dr, Cleveland, OH 44144-1234 2020-02-24
1255984043 Michelle Jean Moore Nurse Practitioner 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 2019-07-20
1548726235 Michelle Len Moore Prosthetist 620 Lenox Ave, Suite 4c, New York, NY 10037 2019-02-18
1790255842 Michelle Moore In Home Supportive Care 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 2018-12-03
1356747687 Michelle Laverne Moore Nurse Practitioner 1050 Benton St, Santa Clara, CA 95050-4854 2014-11-13
1407251481 Michelle Lynn Moore Contractor 364 Patteson Dr, 290, Morgantown, WV 26505-3202 2014-11-03
1164827754 Michelle Moore Counselor 550 Bilper Ave Apt 6119, Lindenwold, NJ 08021-1866 2014-10-26
1669880423 Michelle Moore Counselor 302 E Hersey St Ste 8, Ashland, OR 97520-1200 2014-07-24
1992112361 Michelle Lejay Moore Community Health Worker 209 E Moore Ave, Terrell, TX 75160-3207 2014-07-17
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Physician Overview

NPI 1043769268
PAC ID by PECOS 4880974344
Professional Enrollment ID I20161130000148
Full Name Michelle E Moore
Organization Legal Name THE UNIVERSITY OF CHICAGO MEDICAL CENTER
Phone Number 7737021000
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 7618880766
Number of Group Practice Members 635
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140088 THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861021248 Elizabeth Horan Nurse Practitioner 125 S Green St Apt 1005a, Chicago, IL 60607-3717 2020-04-07
1205471083 Sylvia Coleman Nurse Practitioner 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 2019-11-15
1194374637 Elena Ignatiev Nurse Practitioner 1626 W Farwell Ave Apt 3g, Chicago, IL 60626-3641 2019-09-07
1083276703 Rachel H Prokopf Nurse Practitioner 1150 W 15th St Unit 335, Chicago, IL 60608-3691 2019-07-02
1962922062 Cristina Herico Roy Nurse Practitioner 5600 W Addison St # 210, Chicago, IL 60634-4401 2017-06-21
1194259069 Molly Kachale Netter Nurse Practitioner 1554 E 55th St., Chicago, IL 60615 2017-04-17
1497203434 Maria Pullappally Sayi Nurse Practitioner 3445 N Central Ave Ste C, Chicago, IL 60634-4420 2016-09-20
1770947368 Jose Francis Placido Enriquez Nurse Practitioner 934 W Cuyler Ave, Unit 1b, Chicago, IL 60613-4363 2016-04-08
1851777619 Nicole Davis Nurse Practitioner 1301 E 47th St # 2, Chicago, IL 60653-4507 2015-08-04
1497155998 Aneesha Taylor Nurse Practitioner 1701 W Monterey Ave Ste 9, Chicago, IL 60643-4257 2014-09-03
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Office Location

Street Address 458 N MAY ST
City CHICAGO
State IL
Zip Code 60642-5819

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134612542 Lauren Gregorcy Social Worker 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 2018-06-11
1811409030 Athletico Ltd Physical Therapist 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 2017-10-27
1346759693 Rachel Sherron Counselor 938 N Elston, #1, Chicago, IL 60642 2017-09-28
1639612831 Empathic Resonance, LLC Psychiatry & Neurology 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 2016-11-21
1053867317 D Jamieson Brady Dentist 1249 N Greenview Ave Apt 1, Chicago, IL 60642 2016-08-28
1548646508 Kathryn Lee Massage Therapist 742 N Ada St, Unit 1, Chicago, IL 60642 2015-07-31
1497149694 Neda Bahrani Family Medicine 1460 N Halsted St Ste 401, Chicago, IL 60642 2015-03-25
1326439431 Sarah Perez Counselor 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 2015-02-11
1780097105 Michael Sotiriou Dermatology 1765 N Elston Ave Ste 110, Chicago, IL 60642 2014-06-03
1285067876 Tyler Pere Choate Speech-Language Pathologist 400 N. May Street, Chicago, IL 60642 2013-08-19
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Competitor

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City CHICAGO
Zip Code 60642

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.