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Search › Illinois › 103TC0700X

Samuel Moreno, PHD

NPI 1568455236 · on the registry since 2005

Practice

Address
4600 3rd St
Moline, IL 61265
Phone
(309) 779-7552
Organisation at this address
Trinity Medical Center
Precedence Care Coordination Entity
The Robert Young Center For Community Mental Health
The Robert Young Center For Community Mental Health
The Robert Young Center For Community Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
106

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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