Individual
TANGEE XIMENA MOSCOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
10 MONARCH DR UNIT B, STREAMWOOD, IL 60107-4521
(224) 366-7537
Mailing address
10 MONARCH DR UNIT B, STREAMWOOD, IL 60107-4521
(224) 366-7537
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209011948
IL
Other
Enumeration date
09/30/2014
Last updated
10/19/2018
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