Keith A. Moss, MD, SC
Keith A. Moss, MD, SC is an Internal Medicine Physician in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
300 Riverside Dr Ste 2400Bourbonnais, IL 60914-4996
Phone: (815) 935-2784
Fax: (815) 935-5687
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 036105851 (IL) |
|---|
Record details
| NPI number | 1154520112 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Moss — President · (815) 935-2784 |
| NPI enumerated | July 11, 2007 |
| Last updated in NPPES | May 28, 2008 |
| Mailing address | 300 Riverside Dr, Suite 2400, Bourbonnais, IL 60914-4996 |
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