Search › Illinois › 207Q00000X
Samiraly Moosa, MD
NPI 1699264622 · on the registry since 2018
Practice
- Address
- 1044 N. Francisco Avenue Attn. Gme Office
Chicago, IL 60622 - Phone
- (773) 360-6346
- Fax
- (773) 292-5954
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-20
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