Individual
LESLIE DY-ANNE MOORE-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
17 N STATE ST FL 5, CHICAGO, IL 60602-3384
(312) 592-6800
(312) 592-6801
Mailing address
8444 S SAINT LAWRENCE AVE, CHICAGO, IL 60619-6023
(773) 983-2536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013009
IL
367A00000X
Advanced Practice Midwife
209013009
IL
Other
Enumeration date
09/08/2015
Last updated
01/15/2025
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