Individual
DR. MONICA ANNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
41 E 8TH ST, CHICAGO, IL 60605-2168
(312) 212-9000
(312) 212-9003
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 768-6153
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036-096183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-096183
—
IL
Enumeration date
08/01/2006
Last updated
02/11/2016
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