| John Moon, MD | |
|
24600 W 127th St, Plainfield, IL 60585-9507 | |
| (630) 646-7000 | |
| Not Available |
| Full Name | John Moon |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 24600 W 127th St, Plainfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912400730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036169368 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| John Moon, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2040 | John Moon, MD 24600 W 127th St, Plainfield, IL 60585-9507 Ph: (630) 646-7000 |
Dr. Raghu R Pulluru, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Suite 225, Plainfield, IL 60585 Phone: 630-790-1872 | |
Krishna Ravella, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24600 W 127th St, Plainfield, IL 60585 Phone: 630-646-7000 Fax: 630-548-1563 | |
Dr. David Michael Burt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Building B, Suite 240, Plainfield, IL 60585 Phone: 815-267-8825 Fax: 815-267-8840 | |
Dr. Andrew Joseph Michalowitz, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24600 W. 127th St, Garden Level, Plainfield, IL 60585 Phone: 630-646-7000 Fax: 815-230-6255 |