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Elena S. Moore, MD
Gynecologic Oncology Physician in Evanston, Illinois
NPI 1730382839

Elena S. Moore is a Gynecologic Oncology Physician based in Evanston, IL and is specialized in Gynecologic Oncology. Elena S. Moore practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Elena S. Moore is 1730382839 and holds a License No. 036132978 (Illinois).

The current practice location address for Elena S. Moore is 2650 Ridge Ave, Evanston, IL and can be reached out via phone at 847-570-2639.

Location: 2650 Ridge Ave, Evanston, IL, 60201-1718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730382839
Provider Name
Elena S. Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2650 Ridge Ave, Evanston, IL, 60201-1718
Phone Number
847-570-2639
Fax Number
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BP1-0026448 01 INSTITUTIONAL PERMIT
institution
Provider Business Practice Location Address Details
Address
2650 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-1718
Phone Number
847-570-2639
Fax Number
person
Provider Business Mailing Address Details
Address
2650 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-1718
Phone Number
847-570-2639
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecologic Oncology
Taxonomy
207VX0201X
License No.
036132978 (Illinois)
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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