Individual
ANNIE MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3637 N SOUTHPORT AVE, CHICAGO, IL 60613-3709
(866) 389-2727
Mailing address
3637 N SOUTHPORT AVE, CHICAGO, IL 60613-3709
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011482
IL
Other
Enumeration date
09/05/2014
Last updated
08/23/2024
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