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Terence Moore
NPI 1306688528 · on the registry since 2024 · sole proprietor
Practice
- Address
- 92 Tanglewood Dr
Glen Ellyn, IL 60137 - Phone
- (336) 898-4786
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-10
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