Individual
CATHY DENISE MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP-BC-CDE
Contact information
Practice address
14680 S LA GRANGE RD, ORLAND PARK, IL 60462-2510
(800) 323-8622
(224) 225-0375
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209004308
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209004308
—
IL
Enumeration date
01/04/2007
Last updated
06/26/2024
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