Individual
MR. CHRISTOPHER MICHAEL MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
16149 BENT GRASS DR, LOCKPORT, IL 60441-4645
(708) 829-5248
Mailing address
16149 BENT GRASS DR, LOCKPORT, IL 60441-4645
(708) 829-5248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.404272
IL
363LF0000X
Family Nurse Practitioner
Primary
209.027174
IL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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