Individual
MR. CHRISTOPHER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7544 S STONY ISLAND AVE, CHICAGO, IL 60649-3926
(773) 667-6959
Mailing address
7544 S STONY ISLAND AVE, CHICAGO, IL 60649-3926
(773) 667-6759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040931
IL
Other
Enumeration date
11/15/2011
Last updated
11/20/2011
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