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

Dr. Michael D Moen, MD

Individual provider Gynecology Physician · NPI 1558351312

Dr. Michael D Moen, MD is an Obstetrics/Gynecology in Park Ridge, Illinois. Graduated from University College of Medicine in 1989, 37 years ago. Practices with Illinois Urogynecology Ltd, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
37
Trained at
University College of Medicine
Licensed in
IL
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1875 Dempster St Ste 665
Park Ridge, IL 60068
Phone: (847) 825-1590
Fax: (847) 825-1604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 036-083401 (IL)
Gynecology Physician Taxonomy 207VG0400X · Licence 036083401 (IL)

Record details

NPI number1558351312
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address1875 Dempster St, Suite 665, Park Ridge, IL 60068-1186

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Illinois Urogynecology Ltd — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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