IndividualActive
Mariah Moffis
NPI 1386478816 · Critical Care Pediatric Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1386478816
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 209030178 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000
Approximate (ZIP-level) locationGet directions
Mailing address
218 E Grand Ave Apt 1417
Chicago, IL 60611-3712
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2024-08-28
- Certified
- 2024-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.