Organization
MOORE DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A MOORE MD (PHYSICIAN)
(708) 450-5086
Entity
Organization
Contact information
Practice address
501 W NORTH AVE STE 103, MELROSE PARK, IL 60160-1603
(708) 450-5086
(708) 345-4075
Mailing address
501 W NORTH AVE STE 103, MELROSE PARK, IL 60160-1603
(708) 450-5086
(708) 345-4075
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036075509
IL
Other
Enumeration date
11/15/2007
Last updated
02/17/2021
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