Individual
DR. JENNIFER J MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3538 RIDGE RD, LANSING, IL 60438-3315
(708) 670-8034
(708) 757-6065
Mailing address
3538 RIDGE RD, LANSING, IL 60438-3315
(708) 670-8034
(708) 757-6065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009037
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038-009037
—
IL
Enumeration date
10/31/2005
Last updated
03/16/2021
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