Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob R Moore MD SC

Organization Emergency Care Clinic/Center · NPI 1144097254

Jacob R Moore MD SC is an Emergency Care Clinic/Center in Morrison, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

303 N Jackson St
Morrison, IL 61270-3042
Phone: (815) 772-4003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Care Clinic/Center (primary) Taxonomy 261QE0002X

Record details

NPI number1144097254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Moore — President/Tresurer/Secretary · (815) 988-3623
NPI enumeratedDecember 8, 2023
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address3037 N Seminary Ave, Chicago, IL 60657-4335