Individual
DR. THOMAS JOHN MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 W JEFFERSON ST, SHOREWOOD, IL 60431-7608
(815) 741-2888
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(815) 725-2121
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036057452
IL
Other
Enumeration date
09/26/2005
Last updated
10/09/2015
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