KIRK MOBERG


Address: 602 W University Avenue, Administration, Urbana, IL 61801
Phone: 2173836039

KIRK MOBERG (NPI# 1235153677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235153677
Entity Type Individual
Full Name KIRK MOBERG
Credential MD
Practice Address 602 W University Avenue
Administration
Urbana
IL 61801
Mailing Address P.o. Box 6002
Urbana
IL 61803-6002
Practice Telephone 2173836039
Mailing Telephone 2173268300
Enumeration Date 2006-07-27
Last Update Date 2012-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
036084765 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 602 W UNIVERSITY AVENUE
ADMINISTRATION
City URBANA
State IL
Zip Code 61801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407875628 Farah S Gaudier Pathology 602 W University Avenue, Pathology Lab, Urbana, IL 61801 2006-07-19
1508073578 Nancy Mings Social Worker 602 W University Avenue, Pediatrics, Urbana, IL 61801 2007-05-17
1750420287 Thomas P Malee Optometrist 602 W University Avenue, Ophthalmology/optometry, Urbana, IL 61801 2007-02-05
1134200611 Richard L Meisel Obstetrics & Gynecology 602 W University Avenue, Urbana, IL 61801 2006-10-18
1942224134 Donald A Greeley Internal Medicine 602 W University Avenue, Pulmonary Medicine, Urbana, IL 61801 2006-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417566084 Avani Sushilkumar Mohta Internal Medicine Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2020-07-29
1922617133 Recovery Concepts Urbana, LLC Clinic/Center 710 W. Killarney St., Urbana, IL 61801 2020-07-24
1447877089 Muhammad Khalid Abbas Internal Medicine 611 W Park St Urbana, Urbana, IL 61801 2020-06-30
1003430166 Conlan Joseph Pierce Surgery 601 W Park St, Urbana, IL 61801 2020-06-04
1568090900 Luke Andrew Fenlon Student in an Organized Health Care Education/Training Program Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 2020-03-31
1912559691 Ali Baltaji Internal Medicine 101 N Busey Apt 7, Urbana, IL 61801 2019-07-12
1821510918 Pallavi Pradeep Internal Medicine Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 2017-07-11
1093236002 Angela Lynn Devaney Speech-Language Pathologist 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 2017-06-29
1346775236 Jennifer Garcia Student in an Organized Health Care Education/Training Program Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 2017-04-27
1467992537 Amber Kristine Davis Speech-Language Pathologist 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 2017-03-08
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033343132 Richard Joseph Wallyn Internal Medicine 1300 Brassie Ave., Flossmoor, IL 60422-1812 2009-05-05
1477752160 Arthur Hoffman Internal Medicine 2652 Broadway Ave, Evanston, IL 60201 2007-07-13
1659300796 Abhin Singla Internal Medicine 801 N Larkin Ave Ste 101, Joliet, IL 60435 2006-07-01
1841238979 Mysore N Shivaram Internal Medicine 6901 Cermak Rd, Berwyn, IL 60402-2160 2006-06-02
1659342665 Albert C Tanlim Internal Medicine 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 2006-01-28
1184189672 Calumet Counseling and Dui Services,inc Internal Medicine 1010 W 95th St, Chicago, IL 60643-1522 2019-02-08
1407395346 Bhs Physician Services of Illinois PC Internal Medicine 1237 E 1600 North Rd, Gilman, IL 60938-6112 2017-02-13
1588929525 Opioid Addiction Recovery Services PC Internal Medicine 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 2012-07-05
1376819565 Sahar Eftekhar Internal Medicine 1 E Superior St Ste 306, Chicago, IL 60611-2595 2012-04-01
1942585468 Ngu Md. Wellness Ltd. Internal Medicine 400 E Randolph St, Apt 2711, Chicago, IL 60601-7329 2011-10-15
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Competitor

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City URBANA
Zip Code 61801

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Dataset Information

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.

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