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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972035640

Dr. Sean Moore, MD is an Anesthesiology in Evanston, Illinois. Graduated from Ohio State University College of Medicine in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Ohio State University College of Medicine
Licensed in
IL
In the registry since
2017
Specialties on file
3
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

2650 Ridge Ave Dept OF Anesthesiology
Evanston, IL 60201-1057
Phone: (847) 570-2760
Fax: (847) 570-2921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Erwin Rd, Durham, NC 27705-4699 — (919) 684-8111

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036160629 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X · Licence 036160629 (IL)

Record details

NPI number1972035640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESJune 3, 2022
Certification dateMay 24, 2022
Mailing address2650 Ridge Ave., Dept. Of Anesthesiology, Evanston, IL 60201-1057

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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