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NPI · 1730434879 · NPPES-sourced

Mary Ellen Moore D.O.

ActiveFamily Medicine
NPI Number
1730434879
Type 1 · Individual
Taxonomy Code
207Q00000X
Contact
(708) 425-5500
License IL · 125.061971
Last Updated
Enumerated
Primary practice addressIL · 60453-2698
4301 W 95th St Ste 1Oak Lawn, IL 60453-2698
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About this NPIWhat this record shows.

NPI 1730434879 is registered to Mary Ellen Moore D.O., a Family Medicine practising at 4301 W 95th St Ste 1 in Oak Lawn, Illinois. Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment. Mary Ellen Moore D.O. has been enumerated in the National Provider Identifier (NPI) registry since 2012.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mary Ellen Moore D.O. accepts. To confirm in-network status with your specific health plan, contact Mary Ellen Moore D.O. directly at (708) 425-5500.

Frequently asked

Yes. NPI 1730434879 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (708) 425-5500.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mary Ellen Moore D.O. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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