Individual
PAULA LYNETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W 51ST ST, CHICAGO, IL 60609-5118
(773) 814-9407
Mailing address
7740 S KING DR, CHICAGO, IL 60619-2929
(773) 814-9407
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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