Search › Illinois › 207RC0200X
Scott Moore, D.O
NPI 1619356961 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1775 Dempster St
Park Ridge, IL 60068 - Phone
- (708) 283-5500
- Fax
- (847) 723-0118
- Organisation at this address
- Irma Esposito
Kimberly Vincent
Advocate Lutheran General
Lutheran General Hospital
Advocate Aurora HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 454
Additional practice sites
- 1 Cooper Plz, Camden, NJ
- 240 Meeting House Ln, Southampton, NY
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 207RI0200X
207RC0200X - Licence states on file
- NJ, MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-27
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