Individual
JUAN CARLOS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
Mailing address
6201 W TOUHY AVE, CHICAGO, IL 60646-1100
(847) 673-5166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09250895
IL
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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