Individual
JANET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SP/L
Contact information
Practice address
242 S ORCHARD DR, PARK FOREST, IL 60466-2041
(708) 668-9560
Mailing address
11043 S LONGWOOD DR APT 5, CHICAGO, IL 60643-4020
(773) 307-1200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146001982
IL
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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