Organization
DENNIS M MOORE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET A MOORE RN MSN (PRACTICE MANAGER)
(847) 518-1200
Entity
Organization
Contact information
Practice address
1875 DEMPSTER, SUITE 625, PARK RIDGE, IL 60068
(847) 518-1200
(847) 518-1209
Mailing address
1875 DEMPSTER, SUITE 625, PARK RIDGE, IL 60068
(847) 518-1200
(847) 518-1209
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
IL
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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