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

Moe Takeda

Individual provider Hematology (Pathology) Physician · NPI 1982068789

Moe Takeda is a Hematology (Pathology) Physician in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

5841 S Maryland Ave # MC3083
Chicago, IL 60637-1443
Phone: (773) 834-7708
Show map & directions

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

Additional practice locations (1)

  • 1200 N State St, Los Angeles, CA 90033-1029 — (323) 409-5126

Specialties & licences

Hematology (Pathology) Physician (primary) Taxonomy 207ZH0000X · Licence 036151372 (IL)

Record details

NPI number1982068789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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