Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679152169 Individual Practitioner Female Practitioner

Tali Moore

Pediatrics • Skokie, IL

Professional Overview & Biography Verified Profile Summary

Tali Moore is a registered healthcare professional specializing in Pediatrics in Skokie, IL. Practice services are available at 4709 GOLF RD STE 900 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4709 Golf Rd Ste 900

Skokie, IL 600761244

Telephone 8476765394
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Skokie, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
31 Specialists

Practicing in Skokie, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 125078811

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1043742885

Doctor of Medicine (M.D.)

NPI 1053306365

Doctor of Medicine (M.D.)

Patricia Lawrence , NP

Nurse Practitioner - Pediatrics

NPI 1215141775

Nurse Practitioner

Jessica Fanucchi , APN

Nurse Practitioner - Pediatrics

NPI 1255705794

Advanced Practice Nurse

NPI 1366466658

Doctor of Medicine (M.D.)

NPI 1437549938

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2026

Pediatrics (License #125078811 in IL)

📍
Updated Practice Location September 24, 2024

Registered at 4709 GOLF RD STE 900, SKOKIE, IL 600761244 (Tel: 8476765394)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2024

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2021

Pediatrics (License #125078811 in IL)

NPI Profile Active April 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2021

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110 (Tel: 8473189300)

📍
Updated Business Mailing Address April 03, 2021

Registered at 1675 DEMPSTER ST, PARK RIDGE, IL 600681110

👤
Provider Name / Credentials Updated April 03, 2021

Recorded as TALI MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679152169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2021
Last Update: July 24, 2026
Sole Proprietor: No

Mailing Address

1675 Dempster St

Park Ridge, IL 600681110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.