Individual
LEXIE ROSE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2869 N LINCOLN AVE, CHICAGO, IL 60657-4201
(773) 665-9950
Mailing address
976 SAINT ANDREWS CIR, GENEVA, IL 60134-2997
(630) 360-4390
(630) 360-4390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016656
IL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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