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Mary Ellen Moore, D.O
NPI 1730434879 · on the registry since 2012
Practice
- Address
- 4301 W 95th St Ste 1
Oak Lawn, IL 60453 - Phone
- (708) 425-5500
- Fax
- (708) 425-0771
- Organisation at this address
- Lawn Medical Center, S.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-28
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