Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RENATA CHARISSA MOORE, M.D.
ActiveDR. RENATA CHARISSA MOORE, M.D. is a Radiation Oncology healthcare provider located in DECATUR, Illinois. NPI 1851483572 is currently active in the NPPES registry. Verify at CMS.
Radiation Oncology · DECATUR, IL
Registration Details
- NPI Number
- 1851483572
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2006 (19.906316187779 yrs)
- Last Updated
- Feb 12, 2014
- License
-
036093129 (IL)
Practice Information
- Address
-
1990 E LAKE SHORE DRDECATUR, IL, 625213811Browse IL providers · Browse ZIP 62521
- Phone
- 2174642900
- Fax
- 2174642909
- Primary Specialty
-
Radiation Oncology
2085R0001X
Other Radiation Oncology Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY ANNE DEPAZ | MD | 1700846664 |
| MR. EDWARD C ELLIOTT II | MD | 1790748119 |
| HAROLD A YOON | MD | 1558566984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.