DR. Nicholas M Moore, PHD

NPI #1073017679 in Chicago, Illinois

Provider Information

NPI Number: 1073017679
Entity Type: Individual
Name: DR. Nicholas M Moore, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Credential: PHD
Enumeration Date: Mar 20, 2018
Last Updated: Mar 20, 2018

Practice Location

Address: 1653 W CONGRESS PKWY STE 1173
City: Chicago
State: Illinois
ZIP Code: 60612-3833
Phone: (312) 942-3214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Pathology - Medical Technologist — Medical Technologist	246QM0706X
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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