| Dr Jacob Robert Moore, MD | |
|
5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 | |
| (773) 702-9500 | |
| Not Available |
| Full Name | Dr Jacob Robert Moore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 5841 S Maryland Ave Rm L539, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750762928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125066516 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morrison Community Hospital | Morrison, IL | Hospital |
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Emergency Physicians Llc | 1850657180 | 49 |
| Riverside Emergency Physicians Llc | 6204294119 | 27 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Rush Oak Park Er Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187 |
| Entity Name | Morrison Community Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
| Entity Name | Aurora Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 |
| Entity Name | Riverside Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Robert Moore, MD 100 E 14th St Apt 803, Chicago, IL 60605-3666 Ph: (815) 988-3623 | Dr Jacob Robert Moore, MD 5841 S Maryland Ave Rm L539, Chicago, IL 60637-1447 Ph: (773) 702-9500 |
Jacqueline Alexandria Khorasanee, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 645 N Michigan Ave, Suite 1058a, Chicago, IL 60611 Phone: 312-503-4756 | |
Dr. Robert R Turelli Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-5878 Fax: 773-296-7818 | |
Dr. Kristen Grabow Moore, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 E Ontario St, Suite 300, Chicago, IL 60611 Phone: 312-694-7000 | |
Tomasz Piotr Lis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Dr. Gillian E Munitz, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 520 W Huron St, Unit 413, Chicago, IL 60654 Phone: 312-404-0200 | |
Michael Anthony Hoks Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Resurrection Em Residency, Chicago, IL 60631 Phone: 773-792-7321 | |
Akash Patel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-7921 |