Moon Woo Nam, M.D.
Pathology, Anatomic Pathology & Clinical Pathology in Aurora, IL. Individual provider (NPI-1).
Details
- NPI
- 1154524973
- Entity type
- Individual (NPI-1)
- Name
- Moon Woo Nam
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2007
- Certification date
- Nov 18, 2021
- Last updated
- Nov 18, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PATHOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 036.136194 | IL | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 49908-020 | WI |
Other names
- Moon-Woo Nam (Other Name)
Practice location
1221 N Highland AveAurora, IL 60506-1404
Phone 630-859-8700 · Fax 630-264-8478
Mailing address
2357 Sequoia DrAurora, IL 60506-6222
Phone 630-907-3969 · Fax 630-907-3998
Other practice locations
Maywood, IL 60153-3328
Phone 715-213-7811
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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