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Andrea Moore
NPI 1578010435 · on the registry since 2016 · sole proprietor
Practice
- Address
- 12446 S Loomis St
Calumet Park, IL 60827 - Phone
- (773) 641-7095
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-07
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