John Moon, MD | |
24600 W 127th St, Plainfield, IL 60585-9507 | |
(630) 646-7000 | |
Not Available |
Full Name | John Moon |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 24600 W 127th St, Plainfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912400730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036169368 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
John Moon, MD 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2040 | John Moon, MD 24600 W 127th St, Plainfield, IL 60585-9507 Ph: (630) 646-7000 |
Dr. Raghu R Pulluru, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Suite 225, Plainfield, IL 60585 Phone: 630-790-1872 | |
Dr. David Michael Burt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Building B, Suite 240, Plainfield, IL 60585 Phone: 815-267-8825 Fax: 815-267-8840 |