MRS. CAMILLE KIDD MOSES (NPI# 1043843832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043843832 |
| Entity Type | Individual |
| Full Name | MRS. CAMILLE KIDD MOSES |
| Credential | APN |
| Practice Address |
2106 S 1st Ave Maywood IL 60153-3304 |
| Mailing Address |
1717 Mandan Village Dr Plainfield IL 60586-5879 |
| Practice Telephone | 7082168591 |
| Practice Fax Number | 7082188600 |
| Mailing Telephone | 7732095092 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209016296 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2106 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255482881 | Norma A. Lopez | Internal Medicine | 2106 S 1st Ave, Endocrinology Department, Maywood, IL 60153-3304 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245491281 | Vicki Ann Bacidore | Nurse Practitioner | 2160 S 1st Ave Bldg 110ll, Maywood, IL 60153-3328 | 2008-06-23 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1518420074 | Karmen Busse | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-11 |
| 1124598909 | Stela Lapic | Nurse Practitioner | Loyola University Medical Center, 2160 South 1st Avenue, Maywood, IL 60153-3328 | 2018-12-05 |
| 1215428156 | William Thomas Kelly IIi | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-05-26 |
| 1881127991 | Cynthia Gunsteen | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-04-05 |
| 1730621160 | Danielle Marie Scarola | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2016-11-16 |
| 1275958092 | Lisa Ann Rolnicki | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2014-03-03 |
| 1861739641 | Anna S Ryan | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2013-01-13 |
| 1891069902 | Dorota Pietrowski | Nurse Practitioner | 2160 S 1st Ave, Orthopaedic Surgery and Rehabilitation Maguire Center, Maywood, IL 60153-3328 | 2012-03-07 |
| Find all providers in MAYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.