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Individual
TONYA MOORE
Active
Individual
TONYA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209012046
—
IL
Enumeration date
11/11/2014
Last updated
07/29/2026
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