Individual
ANDREW MOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3008 S HALSTED ST, SUITE 116, CHICAGO, IL 60608-5805
(312) 842-1205
(312) 842-1356
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
070020403
IL
225100000X
Physical Therapist
Primary
070020403
IL
Other
Enumeration date
04/15/2014
Last updated
09/03/2015
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