Dr KEITH A MOSS MD is a male medical professional, specializing in Internal Medicine. He graduated in 1999 from University Of Illinois At Chicago Health Science Center.
RIVERSIDE HEALTH SYSTEM
105 S 1ST ST
WILLMINGTON
IL
604818973
Tel: 8154765210
Npi | 1588601819 |
Pac Id | 4587680137 |
Professional Enrollment Id | I20051026000380 |
Last Name | MOSS |
First Name | KEITH |
Middle Name | A |
Suffix | |
Gender | M |
Credential | MD |
Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1999 |
Primary Specialty | INTERNAL MEDICINE |
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Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
Group Practice Pac Id | 3274434717 |
Number Of Group Practice Members | 153 |
Line 1 Street Address | 105 S 1ST ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | WILLMINGTON |
State | IL |
Zip Code | 604818973 |
Phone Number | 8154765210 |
Hospital Affiliation Ccn 1 | 140186 |
Hospital Affiliation Lbn 1 | RIVERSIDE MEDICAL CENTER |
Hospital Affiliation Ccn 2 | 140155 |
Hospital Affiliation Lbn 2 | PRESENCE ST MARYS HOSPITAL |
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Professional Accepts Medicare Assignment | Y |
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