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

Megan Moore, PA-C

Individual provider Physician Assistant · NPI 1396455630

Megan Moore, PA-C is a Physician Assistant in Chicago, Illinois. Licensed in Illinois, Indiana and Wisconsin. Registered with an NPI since 2022.

Licensed in
IL, IN, WI
In the registry since
2022
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009405 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 10003889A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 7205-23 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1396455630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023

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