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Tanisha Moore
NPI 1558069542 · on the registry since 2023 · sole proprietor
Practice
- Address
- 311a Ridge Rd Apt 113
Wilmette, IL 60091 - Phone
- (267) 505-6106
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-23
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