| Doctor Name: | JANET MOSS |
| NPI Number: | 1013140482 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209-001550 |
| Business Practice Address: | 4440 W 95th St Pain Management Center Oak Lawn, IL - 604532600 |
| Business Phone Number: | 7086843333 |
| Business Fax Number: | 7086844876 |
| Mailing Address: | 4440 W 95th St, Pain Management Center OAK LAWN |
| State: | IL |
| Postal Code: | 604532600 |
| Phone Number: | 7086843333 |
| Fax Number: | 7086844876 |
| NPI Enumeration Date: | 09/01/2009 |
| NPI Last Update Date: | 09/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0000X |
| License Number: | 209-001550 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pain Management |
| Taxonomy Definition: | |