| Tanisha Moore, | |
|
311a Ridge Rd Apt 113, Wilmette, IL 60091-3256 | |
| (267) 505-6106 | |
| Not Available |
| Full Name | Tanisha Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 311a Ridge Rd Apt 113, Wilmette, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558069542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-009934 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook County | 2860398088 | 698 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanisha Moore, 311a Ridge Rd Apt 113, Wilmette, IL 60091-3256 Ph: (267) 505-6106 | Tanisha Moore, 311a Ridge Rd Apt 113, Wilmette, IL 60091-3256 Ph: (267) 505-6106 |
Jacob H Sorensen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 3201 Old Glenview Rd Ste 130, Wilmette, IL 60091 Phone: 847-673-6505 Fax: 847-673-2099 | |
Pinal Desai, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 521 Green Bay Rd Fl 2, Wilmette, IL 60091 Phone: 847-998-5680 Fax: 847-998-6365 | |
Mary Murray, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3207 Lake Ave, Wilmette, IL 60091 Phone: 847-873-8000 | |
Elizabeth Birnbaum, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3201 Old Glenview Rd, Wilmette, IL 60091 Phone: 847-673-6505 |