Individual
DR. THEODORE MOORE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
900 HONEY LN, CRETE, IL 60417-1314
(708) 674-1899
Mailing address
900 HONEY LN, CRETE, IL 60417-1314
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.022431
IL
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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