Mr Mark Moore, LCPC is a
Psychologist based in Chicago, Illinois. Mr Mark Moore is licensed to practice in Illinois (license number ) and his current practice location is
500 N Michigan Ave, Suite 300, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 229-2778.
NPI number for Mr Mark Moore is 1790826477 and his current mailing address is 500 N Michigan Ave, Suite 300, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790826477.
Healthcare Provider's Profile
Full Name | Mr Mark Moore |
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Gender | Male |
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Speciality | Psychologist |
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Location | 500 N Michigan Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790826477
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Mark Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790826477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (Illinois) | Primary |
103T00000X | Psychologist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark Moore, LCPC 500 N Michigan Ave, Suite 300, Chicago, IL 60611-3777 Ph: (708) 229-2778 | Mr Mark Moore, LCPC 500 N Michigan Ave, Suite 300, Chicago, IL 60611-3777 Ph: (708) 229-2778 |
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