Search › Illinois › 101YM0800X
Jeremey Moss
NPI 1699409078 · on the registry since 2022
Practice
- Address
- 904 M L King Dr
Centralia, IL 62801 - Phone
- (618) 533-1391
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-12
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