Individual
JENNY MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041441989
IL
363L00000X
Nurse Practitioner
Primary
209029218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209029218
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
09/06/2023
Last updated
05/21/2026
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