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

Griffin Moore, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407640147

Griffin Moore, DO is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4220 W 95th St Ste 200
Oak Lawn, IL 60453-3072
Phone: (708) 398-0287
Fax: (708) 684-0281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.086072 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407640147
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 7, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address4220 W 95th St Ste 200, Oak Lawn, IL 60453-3072

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