SearchIllinois235Z00000X

Stephanie Harris-Moore

NPI 1659939072 · on the registry since 2019 · sole proprietor

Practice

Address
228 Kentucky St
Park Forest, IL 60466
Phone
(708) 408-0861

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-05-31

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