Search › Illinois › 207R00000X
Keith Moss, MD
NPI 1588601819 · on the registry since 2006
Practice
- Address
- 400 Riverside Dr Ste 2100
Bourbonnais, IL 60914 - Phone
- (815) 935-2784
- Fax
- (815) 935-5687
- Clinicians at this address
- 18
Additional practice sites
- 4000 N Illinois Ln, Swansea, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois