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Contact Information

VIRGINIA J MOODY, MD
405 KAYS DRIVE
SUITE B
NORMAL, IL61761
 Phone: 309-862-0064
 Fax: 309-862-1542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for VIRGINIA J MOODY · (Female)

NPI Number 1255419362
Status Active
Credentials MD
Entity Individual
Enumeration date 11/02/2006
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36101578
  • Other 5723204 BCBS
  • Other 067425 HEALTH ALLIANCE
  • Other 437668 HEALTH LINK
  • Other 260051695 RR MEDICARE
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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