Burton Emerson Moore

Pediatrics Physician · Rockford, IL

Individual Active NPI

NPI number 1063540540

Practice location

2222 E State St
Room 108
Rockford, IL 61104-1573
Phone
(815) 962-7922

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NPI record

NPI
1063540540
Entity type
Individual (Type 1)
Enumeration date
February 28, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — IL

About Burton Moore

Burton Emerson Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2222 E State St, Room 108, Rockford, IL 61104-1573. The NPI number 1063540540 was assigned on February 28, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Burton Emerson Moore?

The NPI number is 1063540540.

What is the phone number of Burton Moore?

The phone number listed for the practice location is (815) 962-7922.

Where is Burton Moore located?

2222 E State St, Room 108, Rockford, IL 61104-1573.

What is the taxonomy code for Burton Moore?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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