SearchIllinois247000000X

Sidney Moore

NPI 1932898624 · on the registry since 2023 · sole proprietor

Practice

Address
2401 W Main St
Marion, IL 62959
Phone
(618) 998-5604
Fax
(618) 997-8293
Organisation at this address
Vamc
Marion Vamc
Veterans Affairs
Va Medical Center
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
417

Registry record

Primary taxonomy
247000000X
247000000X
Sex
Female
Record last updated
2023-05-08

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