SearchIllinois225200000X

Angelica Moreno

NPI 1124653019 · on the registry since 2020

Practice

Address
508 W Frech St
Streator, IL 61364
Phone
(815) 672-2600

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-11

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