Individual
JENNIFER G MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CHERRY LN, NORTHBROOK, IL 60062-4414
(847) 498-7960
Mailing address
2500 CHERRY LN, NORTHBROOK, IL 60062-4414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009463
IL
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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