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

Ellen Moon, NP

Individual provider Family Nurse Practitioner · NPI 1821010281

Ellen Moon, NP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2004, 22 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1801 W Taylor St
Chicago, IL 60612-4795
Phone: (312) 996-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209015461 (IL)

Record details

NPI number1821010281
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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