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Search › Illinois › 101YA0400X

John Moss, CADC, CODP, QMHP

NPI 1619147394 · on the registry since 2008 · sole proprietor

Practice

Address
1320 Union St
Morris, IL 60450
Phone
(815) 941-3142
Organisation at this address
Grundy County Health Department
Grundy County Health Department
Grundy County Health Department
Grundy Kendall Regional Office Of Educaion
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Additional practice sites

  • 18 County Road 458, Mountain Home, AR

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
171M00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois