Individual
LAUREL MOODY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2007 95TH ST, LL A CHILDRENS HEALTH PARTNERS SC, NAPERVILLE, IL 60564
(630) 848-1700
(630) 848-1718
Mailing address
2007 95TH ST, SUITE #LL A, NAPERVILLE, IL 60564
(630) 848-1700
(630) 848-1718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036098773
IL
Other
Enumeration date
07/07/2006
Last updated
05/24/2012
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