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Angela Moore
NPI 1992256309 · on the registry since 2016
Practice
- Address
- 519 W 2nd St
Genoa, IL 60135 - Phone
- (815) 517-3101
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-22
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