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Angela Moore

NPI 1275995243 · on the registry since 2016

Practice

Address
1230 Pearl St
Aurora, IL 60505
Phone
(630) 966-4492
Organisation at this address
Associaiton For Individual Development
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-28

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