Search › Illinois › 363LF0000X
Kandise Mooneyham
NPI 1962181115 · on the registry since 2023 · sole proprietor
Practice
- Address
- 80 Templeton Dr
Oswego, IL 60543 - Phone
- (630) 554-3456
- Fax
- (630) 551-2970
- Organisation at this address
- Dreyer Clinic, Inc
Advocate Health And Hospitals CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Additional practice sites
- 2365 Monarchos Ln, Montgomery, IL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-08
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