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Sam Moore, DO
Family Medicine Physician in Champaign, Illinois
NPI 1972516797

Sam Moore is a Family Medicine Physician based in Urbana, IL. Sam Moore practices in Champaign, IL and has the professional credentials of DO. The NPI Number for Sam Moore is 1972516797 and holds a License No. 036075380 (Illinois).

The current practice location address for Sam Moore is 1701 W. Curtis, Champaign, IL and can be reached out via phone at 217-365-6203 and via fax at 217-383-4752.

Location: 1701 W. Curtis, Champaign, IL, 61801-2530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972516797
Provider Name
Sam Moore
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1701 W. Curtis, Champaign, IL, 61801-2530
Phone Number
217-365-6203
Fax Number
217-383-4752
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IL2613 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1701 W. Curtis
City
Champaign
State
Illinois
Zip
61822-9678
Phone Number
217-365-6203
Fax Number
217-383-4752
person
Provider Business Mailing Address Details
Address
1701 W. Curtis
City
Champaign
State
Illinois
Zip
61822-9678
Phone Number
217-365-6203
Fax Number
217-383-4752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036075380 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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