Search › Illinois › 207ZH0000X
Moe Takeda
NPI 1982068789 · on the registry since 2016 · sole proprietor
Practice
- Address
- 5841 S Maryland Ave # Mc3083
Chicago, IL 60637 - Phone
- (773) 834-7708
- Clinicians at this address
- 31
Additional practice sites
- 1200 N State St, Los Angeles, CA
Registry record
- Primary taxonomy
- 207ZH0000X
207ZH0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-27
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