| Juan Carlos Moreno, | |
|
6201 W Touhy Ave, Chicago, IL 60646-1100 | |
| (847) 673-5166 | |
| Not Available |
| Full Name | Juan Carlos Moreno |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 6201 W Touhy Ave, 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 |
|---|---|---|---|
| 1184596587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F09250895 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Healthcare Partners Pllc | 2466824149 | 24 |
| Vitae Health Medical Illinois, Pllc | 2365798410 | 205 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Moreno, 6201 W Touhy Ave, Chicago, IL 60646-1100 Ph: (847) 673-5166 | Juan Carlos Moreno, 6201 W Touhy Ave, Chicago, IL 60646-1100 Ph: (847) 673-5166 |
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