| Doctor Name: | ANGELA MARIE MOSS |
| NPI Number: | 1962635961 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN-BC |
| License Number: | 209.006488 |
| Business Practice Address: | 4330 Trans World Rd Flying Food Services Health Clinic Schiller Park, IL - 601761707 |
| Business Phone Number: | 8476786738 |
| Business Fax Number: | 8476786748 |
| Mailing Address: | 600 S Paulina St, Rush University College Of Nursing, Office 1053d Aac CHICAGO |
| State: | IL |
| Postal Code: | 606123806 |
| Phone Number: | 3129423436 |
| Fax Number: | 3129426226 |
| NPI Enumeration Date: | 08/25/2009 |
| NPI Last Update Date: | 08/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209.006488 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |