Organization
ALL MEDICAL 1 LLC
Active
Parent organization
ALL MEDICAL 1 LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL MEDICAL 1 LLC
Authorized official
MS. LOUISE MOORE (PRESIDENT)
(847) 477-7502
Entity
Organization
Contact information
Practice address
105 N LARAMIE AVE., CHICAGO, IL 60644-3321
(847) 477-7502
(847) 453-3282
Mailing address
40W392 TRIPLE OAKS FARM DR, HAMPSHIRE, IL 60140-7427
(847) 453-8455
(847) 453-3282
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
IL
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/26/2017
Last updated
07/21/2021
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