Individual
JOHN F. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Contact information
Practice address
18130 HALSTED ST, HOMEWOOD, IL 60430-2507
(708) 799-2550
(708) 799-1094
Mailing address
18130 HALSTED ST, HOMEWOOD, IL 60430-2507
(708) 799-2550
(708) 799-1094
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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