Individual
CHRISTINE J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(847) 583-6701
Mailing address
255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209.007797
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007797
IL
Other
Enumeration date
12/11/2009
Last updated
09/20/2023
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