Individual
MRS. CANDICE C MOORE-UDOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 S MAPLEWOOD AVE APT 3C, CHICAGO, IL 60612-2883
(312) 866-2900
Mailing address
333 S MAPLEWOOD AVE APT 3C, CHICAGO, IL 60612-2883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-352849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041-352849
—
IL
Enumeration date
12/24/2018
Last updated
12/24/2018
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