Individual
MRS. LOIS B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA / CTS
Contact information
Practice address
5306 S HOYNE AVE, CHICAGO, IL 60609-5543
(773) 603-0644
(773) 471-3222
Mailing address
5306 S HOYNE AVE, CHICAGO, IL 60609-5543
(773) 603-0644
(773) 471-3222
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
208269611
IL
Other
Enumeration date
03/18/2009
Last updated
08/05/2009
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