Moore Dermatology SC
NPI 1659552875ActiveOrganization· Dermatology· Melrose Park, IL
Dermatology in Melrose Park, Illinois, registered in NPPES in November 2007. The authorized official on file is Julie A. Moore, MD, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659552875 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2007 |
| Last updated in NPPES | Feb 17, 2021 |
| Certified by provider | Feb 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 036075509 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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