Individual
APRIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
803 S FIRST AVE, FORRESTON, IL 61030-9575
(815) 938-3130
(815) 938-3352
Mailing address
PO BOX 268, FREEPORT, IL 61032-0268
(815) 599-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036120895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306120895
—
IL
Enumeration date
05/04/2007
Last updated
11/13/2012
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