DENNIS M MOORE MD SC (NPI# 1053491639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053491639 |
| Entity Type | Organization |
| Organization Name | DENNIS M MOORE MD SC |
| Practice Address |
1875 Dempster Suite 625 Park Ridge IL 60068 |
| Practice Telephone | 8475181200 |
| Practice Fax Number | 8475181209 |
| Mailing Telephone | 8475181200 |
| Mailing Fax Number | 8475181209 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JANET A MOORE (PRACTICE MANAGER) |
| Authorized Official Telephone | 8475181200 |
| Authorized Official Credential | RN MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1875 DEMPSTER SUITE 625 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770560864 | Joanna Poniatowicz | Psychiatry & Neurology | 1875 Dempster, Ste 601, Park Ridge, IL 60068 | 2005-12-29 |
| 1881896637 | Benjamin Andres Kase | Obstetrics & Gynecology | 1875 Dempster, Parkside Center Suite 325, Park Ridge, IL 60068 | 2007-06-04 |
| 1639262348 | Daniel Schwartz | Obstetrics & Gynecology | 1875 Dempster, Suite 465, Park Ridge, IL 60068 | 2006-10-02 |
| 1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
| 1255391116 | Ann Walczynski | Psychiatry & Neurology | 1875 Dempster, Ste 490, Park Ridge, IL 60068-1120 | 2006-03-24 |
| 1033199336 | Andrew B Pundy | Psychiatry & Neurology | 1875 Dempster, Suite 490, Park Ridge, IL 60068-1120 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295832483 | Dennis Michael Moore | Otolaryngology | 1875 Dempster, Suite 625, Park Ridge, IL 60068 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760657381 | Heather Maureen Weinreich | Otolaryngology | 1855 W Taylor St Dept Of, Chicago, IL 60612-7242 | 2008-04-24 |
| 1669448056 | Griffith Hsu | Otolaryngology | 430 Pennsylvania Ave # 330, Glen Ellyn, IL 60137-4464 | 2006-02-24 |
| 1790029593 | Adventist Health Partners, Inc | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2990 | 2012-11-16 |
| 1609134063 | Terence Edward Imbery | Otolaryngology | 5841 S Maryland Ave # Mc1035, Chicago, IL 60637 | 2012-04-24 |
| 1992905426 | Timothy C Hain, Md, PC | Otolaryngology | 645 N Michigan Ave, Suite 410, Chicago, IL 60611-2826 | 2007-07-23 |
| 1598982571 | Ear Institute of Chicago LLC | Otolaryngology | 11 Salt Creek Ln, Suite 101, Hinsdale, IL 60521-2902 | 2007-04-19 |
| 1346315017 | Richard Mark Wiet | Otolaryngology | 1611 W Harrison St, Suite 550, Chicago, IL 60612-4861 | 2006-11-21 |
| 1033129762 | Arvind Kumar | Otolaryngology | 950 N York Rd, Suite 102, Hinsdale, IL 60521-2950 | 2006-08-08 |
| 1699752568 | Sam Marzo | Otolaryngology | 2160 S 1st Ave, Maguire Center 1870, Maywood, IL 60153-3328 | 2005-12-30 |
| 1962489823 | John Leonetti | Otolaryngology | 2160 S First Ave, Maguire Center 1870, Maywood, IL 60153 | 2005-12-30 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.