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Dr. Keith A Moss, MD

Internal Medicine Physician in Bourbonnais, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588601819

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Registry record

Entity type Individual (Type 1)
Name Dr. Keith A Moss
Credential MD
Sex Male
Practice address 400 Riverside Dr Ste 2100, Bourbonnais, IL, 60914
Phone (815) 935-2784
Fax (815) 935-5687
Enumeration date Jun 2, 2006
Last updated in NPPES Oct 25, 2022

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036105851 (IL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0361058512 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Keith Moss practice?
The practice location on file with NPPES is in Bourbonnais, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Keith Moss?
The National Provider Identifier (NPI) for Keith Moss is 1588601819, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-25.