Individual
SAMANTHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MADISON ST, OAK PARK, IL 60302-4278
(708) 486-2700
Mailing address
1655 HIGHLAND BLVD, HOFFMAN ESTATES, IL 60169
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209-032478
IL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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