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

Mahnoor Moin, PA

Individual provider Physician Assistant · NPI 1639686009

Mahnoor Moin, PA is a Physician Assistant in Orland Park, Illinois. Qualified in 2017, 9 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and Virginia.

Years since qualifying
9
Licensed in
IL, VA
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

15300 W Ave Ste 210
Orland Park, IL 60462-4686
Phone: (708) 226-2870
Fax: (708) 226-2390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085010543 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 0110006027 (VA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1639686009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2018
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address15300 West Ave Ste 210, Orland Park, IL 60462-4686

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Orland Park