SearchIllinois247000000X

Wanda Moore- Wilson, MB&C, CNA,MOA

NPI 1437722949 · on the registry since 2021 · sole proprietor

Practice

Address
5612 S Wabash Ave # Apty5
Chicago, IL 60637
Phone
(312) 481-3779

Registry record

Primary taxonomy
247000000X
247000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-19

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