SearchIllinois1041C0700X

Michelle Moore, EARLY INTERVENTION P

NPI 1760649628 · on the registry since 2008 · sole proprietor

Practice

Address
Po Box 658
Blue Island, IL 60406
Phone
(708) 698-0714

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
252Y00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-11

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