Individual
EATHEL ANTOINETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1668 W JUNEWAY TER APT 1N, CHICAGO, IL 60626-1131
(224) 714-8838
Mailing address
1668 W JUNEWAY TER APT 1N, CHICAGO, IL 60626-1131
(224) 714-8838
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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