TIMOTHY MOORE (NPI# 1144830605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144830605 |
| Entity Type | Individual |
| Full Name | TIMOTHY MOORE |
| Practice Address |
150 Queenswood Rd Bolingbrook IL 60440-2578 |
| Practice Telephone | 7736327705 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881172997 | Timothy Ian Moore IIi | Chiropractor | 5365 Mae Anne Ave Ste B10, Reno, NV 89523-1889 | 2018-07-31 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1629393251 | Timothy O'neal Moore | Driver | 2850 Oak Rd, Pearland, TX 77584-8853 | 2010-04-07 |
| 1376764357 | Timothy Moore | Counselor | 456 Bannock St., Denver, CO 80204 | 2007-05-01 |
| 1932289535 | Timothy Alan Moore | Nurse Practitioner | 115 N Thompson Ln, Murfreesboro, TN 37129-4305 | 2006-10-17 |
| 1184721177 | Timothy Eugene Moore | Physical Therapist | 107 Calumet Center Rd, Lagrange, GA 30241-6705 | 2006-09-20 |
| 1891709465 | Timothy Hamman Moore | Dentist | 2508 Bethel Rd, Columbus, OH 43220-2293 | 2006-07-28 |
| 1578598223 | Timothy James Moore | Dentist | 2603 Crosby Ave, Suite A, Klamath Falls, OR 97603-5776 | 2006-07-11 |
| 1578592903 | Timothy Kevin Moore | Chiropractor | 101 S Mclean Blvd Ste A, South Elgin, IL 60177-1830 | 2006-06-30 |
| 1518939792 | Timothy L Moore | General Practice | 3212 Sw 89th St, Suite 100, Oklahoma City, OK 73159-7956 | 2006-02-02 |
| Street Address |
150 QUEENSWOOD RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479866 | Donald Mitckess | Counselor | 672 Londonberry Ln, Bolingbrook, IL 60440-1017 | 2020-08-26 |
| 1588170195 | Deborah Burrell | Counselor | 682 W Boughton Rd Ste B, Bolingbrook, IL 60440-2199 | 2017-12-18 |
| 1003345448 | Elianna Barrios | Counselor | 440 W Boughton Rd Ste E, Bolingbrook, IL 60440-2391 | 2017-06-08 |
| 1629526793 | Danny Spiros Sourbis | Counselor | 665 Londonberry Ln, Bolingbrook, IL 60440-1061 | 2016-09-16 |
| 1528414976 | Kiyana Jackson | Counselor | 1175 Lily Cache Ln, Bolingbrook, IL 60490-3122 | 2016-05-04 |
| 1881096949 | Revisions Counseling Services, LLC | Counselor | 190 Lily Cache Ln, Bolingbrook, IL 60440-3415 | 2014-09-20 |
| 1255666707 | Jenna Lynn Fash | Counselor | 684 W Boughton Rd Ste 106, Bolingbrook, IL 60440-1781 | 2009-10-15 |
| 1093970824 | Geaniece Denece Carter | Counselor | 316c Woodcreek Dr, Suite 106, Bolingbrook, IL 60440-3305 | 2008-07-21 |
| 1932377785 | Peggy Sue Glotzbach | Counselor | 432 Justine Ave, Bolingbrook, IL 60440-2221 | 2008-02-14 |
| 1063565190 | Meli Development Center | Counselor | 542 E Boughton Rd, Bolingbrook, IL 60440-2181 | 2007-01-20 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on TIMOTHY MOORE.
| 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.