Individual
ELIZABETH MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 THRUSH CIR, LINDENHURST, IL 60046-7948
(312) 420-9211
Mailing address
252 THRUSH CIR, LINDENHURST, IL 60046-7948
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209009667
IL
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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