| Keith A. Moss, M.d., Sc | |
|
300 Riverside Dr Suite 2400 Bourbonnais IL 60914-4996 | |
| (815) 935-2784 | |
| (815) 935-5687 |
| Full Name | Keith A. Moss, M.d., Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Riverside Dr, Bourbonnais, Illinois |
| Authorized Official Name and Position | Keith A. Moss (PRESIDENT) |
| Authorized Official Contact | 8159352784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith A. Moss, M.d., Sc 300 Riverside Dr Suite 2400 Bourbonnais IL 60914-4996 Ph: (815) 935-2784 | Keith A. Moss, M.d., Sc 300 Riverside Dr Suite 2400 Bourbonnais IL 60914-4996 Ph: (815) 935-2784 |
| NPI Number | 1154520112 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 05/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154520112 | NPI | - | NPPES |
| 036105851 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036105851 (Illinois) | Primary |
Chinese Provider Group Of Illinois Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Park Pl Ste 2, Bourbonnais, IL 60914 Phone: 833-308-8876 | |
Nepomuceno Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Brown Blvd Ste 106, Bourbonnais, IL 60914 Phone: 815-937-8786 | |
Dr. Katie Maier Dc, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 662 N Convent St, Bourbonnais, IL 60914 Phone: 815-937-0446 | |
Sarat Yalamanchili, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N Convent St Ste 101, Bourbonnais, IL 60914 Phone: 815-937-4500 Fax: 815-937-4777 | |
Riverside Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2080 N State Route 50, Bourbonnais, IL 60914 Phone: 815-936-6012 Fax: 815-936-7231 | |
Digestive Diseases Consultants Of Kankakee, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1615 N. Convent St, Ste 1, Bourbonnais, IL 60914 Phone: 815-937-5200 Fax: 815-937-2063 |