SearchIllinois363A00000X

Shirley Moody, PA

NPI 1770700585 · on the registry since 2007 · sole proprietor

Practice

Address
625 E Us Highway 36
Tuscola, IL 61953
Phone
(217) 253-1235
Fax
(217) 253-4238

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-02-11

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