DR. NICHOLAS M MOORE (PHD) – Clinical Laboratory Director (Non-physician), NPI 1073017679

DR. NICHOLAS M MOORE (PHD) is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Laboratory Director (Non-physician). They hold the professional credentials PHD. The NPI Number for DR. NICHOLAS M MOORE (PHD) is 1073017679

Main info

Male
Name
DR. NICHOLAS M MOORE (PHD)
NPI
1073017679
Phone
(312) 942-3214
Address
1653 W CONGRESS PKWY STE 1173
Enumeration Date
20 March 2018
Last Update Date
20 March 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for DR. NICHOLAS M MOORE (PHD)

  • 1173, West Congress Parkway, Greektown, Near West Side, University Village/Little Italy, Chicago, Cook County, Illinois, 60612, United States

    CHICAGO, IL 606123833

    Phone: (312) 942-3214

    Fax: (312) 942-6787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Reviews

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Frequently asked questions

Can I cross-check DR. NICHOLAS M MOORE (PHD) using NPI 1073017679?
NPI 1073017679 belongs to DR. NICHOLAS M MOORE (PHD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. NICHOLAS M MOORE (PHD)?
You should see DR. NICHOLAS M MOORE (PHD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. NICHOLAS M MOORE (PHD)?
DR. NICHOLAS M MOORE (PHD)'s record emphasizes Clinical Laboratory Director (Non-physician). Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. NICHOLAS M MOORE (PHD) registered?
Use Chicago, Illinois as the headline location for DR. NICHOLAS M MOORE (PHD) here.
When was this NPI issued?
Enumeration for DR. NICHOLAS M MOORE (PHD) is noted as March 20, 2018 where the registry provides it.

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