Michelle Moore

NPI #1114373495 in La Grange Park, Illinois

Provider Information

NPI Number: 1114373495
Entity Type: Individual
Name: Michelle Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 5, 2016
Last Updated: May 5, 2016

Practice Location

Address: 333 N LA GRANGE RD
City: La Grange Park
State: Illinois
ZIP Code: 60526-5646
Phone: (708) 745-5277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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