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Contact Information

ROBERT J MOSS, MD
901 NORTHWOODS RD
DEERFIELD, IL60015-2222
 Phone: 843-373-8453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT J MOSS · (Male)

NPI Number 1487684080
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 11/03/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036059412
  • IL Medicaid 036059412
  • IL Other L69140 MEDICARE ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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