Individual
CHELSEA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 N KINGSBURY ST STE 303, CHICAGO, IL 60642-2687
(312) 809-0298
Mailing address
1307 W NORTH SHORE AVE APT 3, CHICAGO, IL 60626-4762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.113159
IL
Other
Enumeration date
09/26/2024
Last updated
11/03/2025
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