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Taneisha Moore
NPI 1952032633 · on the registry since 2022
Practice
- Address
- 2829 W 87th St
Evergreen Park, IL 60805 - Phone
- (773) 370-3726
- Fax
- (773) 352-9492
- Organisation at this address
- The Land Of Her
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Sex
- Female
- Record last updated
- 2022-06-23
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