SearchIllinois101YP2500X

John Moore, LCPC

NPI 1013993328 · on the registry since 2005 · sole proprietor

Practice

Address
4343 N Clarendon Ave
#2212
Chicago, IL 60613
Phone
(773) 704-5300
Clinicians at this address
4

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois