Individual
MISS TERESA HOPE MORIARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8321 W NORTH AVE, MELROSE PARK, IL 60160-1669
(708) 681-2298
Mailing address
8321 W NORTH AVE, MELROSE PARK, IL 60160-1669
(708) 681-2298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
03/24/2023
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