| Patricia L Moody, MD | |
|
2780 Mcfarland Rd, Rockford, IL 61107-6807 | |
| (815) 971-2000 | |
| (815) 637-0400 |
| Full Name | Patricia L Moody |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2780 Mcfarland Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043369747 | NPI | - | NPPES |
| 036103063 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036103063 (Illinois) | Primary |
| Entity Name | Northshore Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia L Moody, MD 2780 Mcfarland Rd, Rockford, IL 61107-6807 Ph: (815) 971-2000 | Patricia L Moody, MD 2780 Mcfarland Rd, Rockford, IL 61107-6807 Ph: (815) 971-2000 |
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400 | |
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742 | |
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570 | |
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528 | |
Dr. Sarah M. Beaves, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 |