OrganizationActive
Jacob R Moore MD Sc
NPI 1144097254 · Emergency Care Clinic/Center · Morrison, IL
Provider details
- NPI number
- 1144097254
- Entity type
- Organization
- Primary specialty
- Emergency Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacob Moore, President/Tresurer/Secretary(815) 988-3623
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
303 N Jackson St
Morrison, IL 61270-3042
Phone: (815) 772-4003
Approximate (ZIP-level) locationGet directions
Mailing address
3037 N Seminary Ave
Chicago, IL 60657-4335
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.