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KEITH A. MOSS, M.D., SC
NPI 1154520112
Internal Medicine in Bourbonnais, IL

Active since July 11, 2007
300 RIVERSIDE DR, SUITE 2400, BOURBONNAIS, IL 60914(815) 935-2784(815) 935-5687 Get Directions Write a Review

NPPES record last updated: May 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith A. Moss, M.d., Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH A. MOSS, M.D., SC (NPI 1154520112) is a healthcare organization registered as an internal medicine in Bourbonnais, Illinois and active in the NPI registry since July 2007. The organization lists Keith A. Moss, President, as its authorized official.

NPPES Registry Identity

NPI1154520112
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEITH A. MOSS, M.D., SC
Location Address300 RIVERSIDE DR, SUITE 2400Bourbonnais, IL 60914-4996
Mailing Address300 Riverside Dr, Suite 2400Bourbonnais, IL 60914-4996 · (815) 935-2784 · Fax (815) 935-5687
Phone(815) 935-2784
Fax(815) 935-5687
Organization SubpartNo
Authorized OfficialKeith A. MossPresident · (815) 935-2784
Enumeration DateJuly 11, 2007
Last NPPES UpdateMay 28, 2008
✔ NPI 1154520112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036105851
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 RIVERSIDE DR, Bourbonnais, IL 60914
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Other Identifiers 3

Medicaid036105851IL
Medicare PIN212439IL
Medicare UPINH59342IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA D NEWELL
Audiologist
300 RIVERSIDE DR, SUITE 2100
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith A. Moss, M.D., Sc's NPI number?

The NPI number for Keith A. Moss, M.D., Sc is 1154520112. It was assigned to this organization in the NPPES registry on July 11, 2007.

Where is Keith A. Moss, M.D., Sc located?

Keith A. Moss, M.D., Sc is located at 300 Riverside Dr Suite 2400, Bourbonnais, IL 60914. The listed phone number is (815) 935-2784.

What is Keith A. Moss, M.D., Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Keith A. Moss, M.D., Sc was last updated on May 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.