Individual
DR. EMILEE LANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3319 N ELSTON AVE STE 200, CHICAGO, IL 60618-5811
(312) 312-7525
Mailing address
4310 N FRANCISCO AVE FL 1, CHICAGO, IL 60618-1410
(308) 440-6721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.016136
IL
Other
Enumeration date
07/31/2024
Last updated
12/14/2024
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