Individual
NANCY A. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
700 W JEFFERSON ST, SHOREWOOD, IL 60404-7608
(815) 741-2888
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(815) 714-2888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209002503
IL
Other
Enumeration date
10/04/2006
Last updated
03/01/2017
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