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Search › Illinois › 225200000X

Casey Moore

NPI 1225447246 · on the registry since 2014 · sole proprietor

Practice

Address
509 N Adelaide St
Normal, IL 61761
Phone
(309) 451-0393
Organisation at this address
Arc At Normal Llc
Arc At Normal Llc
Heritage Manor - Normal
Heritage Manor Normal, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-04

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