Sarah Rebecca Moon

Physician Assistant · Urbana, IL

Individual Active NPI

NPI number 1073367983

Practice location

611 W Park St
Urbana, IL 61801-2501
Phone
(217) 383-3311

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NPI record

NPI
1073367983
Entity type
Individual (Type 1)
Enumeration date
April 16, 2024
Last updated
December 31, 2024
Certified
December 30, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085010482 IL
Physician Assistant 363A00000X — —

Mailing address

611 W Park
Fapc
Urbana, IL 61802
Phone
(217) 902-6954
Fax
(217) 902-7711

About Sarah Moon

Sarah Rebecca Moon is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 611 W Park St, Urbana, IL 61801-2501. The NPI number 1073367983 was assigned on April 16, 2024 and the record was last updated on December 31, 2024.

Sarah Moon lists a license in the registry: #085010482 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sarah Rebecca Moon?

The NPI number is 1073367983.

What is the phone number of Sarah Moon?

The phone number listed for the practice location is (217) 383-3311.

Where is Sarah Moon located?

611 W Park St, Urbana, IL 61801-2501.

What is the taxonomy code for Sarah Moon?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

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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