IndividualActive
Andrew Moore, MD
NPI 1053840009 · Gastroenterology Physician · Evanston, IL
Provider details
- NPI number
- 1053840009
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 125070740 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (847) 570-2000
Approximate (ZIP-level) locationGet directions
Mailing address
180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686
Additional practice locations (1)
- 1650 W Harrison St Ste 466Chicago, IL 60612-3800Phone: (312) 942-5495
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2022-07-21
- Certified
- 2020-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.