Individual
ERIKA MICHELLE MOXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, BUILDING 105, ROOM 1870, MAYWOOD, IL 60153-3328
(708) 216-1676
Mailing address
2160 S 1ST AVE, BUILDING 105, ROOM 1870, MAYWOOD, IL 60153-3328
(708) 216-1676
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125.081712
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2023
Last updated
05/16/2023
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