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Individual
CHRISTOPHER C MOORE
Active
Individual
CHRISTOPHER C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003389
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003389
—
IL
01
—
03922239
BLUE CROSS BLUE SHIELD
IL
01
—
CI5845 / 1013941392
RAILROAD MEDICARE
IL
Enumeration date
07/10/2006
Last updated
03/16/2022
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