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

Dr. Nicholas M Moore, PHD

Individual provider Medical Technologist · NPI 1073017679

Dr. Nicholas M Moore, PHD is a Medical Technologist in Chicago, Illinois. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1653 W Congress Pkwy Ste 1173
Chicago, IL 60612-3833
Phone: (312) 942-3214
Fax: (312) 942-6787
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X
Medical Technologist Taxonomy 246QM0706X

Record details

NPI number1073017679
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESMarch 20, 2018
Mailing address1653 W Congress Pkwy Ste 1173, Chicago, IL 60612-3833

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