Individual
MALCOLM MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 PLUM ST, AURORA, IL 60506-3462
(630) 960-4475
Mailing address
1634 PLUM TREE LN, AURORA, IL 60504-4288
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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