IndividualActive
Matthew Moss, M.D.
NPI 1104169150 · Student in an Organized Health Care Education/Training Program · Chicago, IL
Provider details
- NPI number
- 1104169150
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3900200000X (IL)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 3900200000X (IL)
Student, Health Care
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2525 S Michigan Ave
Mercy Hospital and Medical Center
Chicago, IL 60616-2333
Phone: (312) 567-2011
Street-level locationGet directions
Mailing address
7353 North Ave. #2f
River Forest, IL 60305
Registry dates
- Enumerated
- 2013-03-28
- Last updated
- 2013-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.