Individual
ANGELICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025067
IL
Other
Enumeration date
07/19/2022
Last updated
07/25/2022
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