Jacqueline Moran, MD

Individual provider Allergy Physician · NPI 1518934967

Jacqueline Moran, MD is an Allergy/Immunology in Glen Ellyn, Illinois. Graduated from Indiana University School of Medicine in 1997, 29 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying: 29
Trained at: Indiana University School of Medicine
Licensed in: IL
In the registry since: 2006

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

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 469-9200

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

Specialties & licences

Allergy Physician (primary)	Taxonomy 207KA0200X · Licence 036101828 (IL)

Record details

NPI number	1518934967
Entity type	Individual (Type 1)
Gender	Female
Credentials	MD
Sole proprietor	No
NPI enumerated	March 3, 2006
Last updated in NPPES	August 16, 2023
Certification date	August 16, 2023
Mailing address	Po Box 713260, Chicago, IL 60677-1260

Medicare enrollment

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

Medicare specialty	ALLERGY/IMMUNOLOGY
Medical school	INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated	1997 (29 years in practice)
Group practice	Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount