Luis Andres Moreno

NPI #1124983077 in Cicero, Illinois

Provider Information

NPI Number: 1124983077
Entity Type: Individual
Name: Luis Andres Moreno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 22, 2025
Last Updated: Dec 22, 2025

Practice Location

Address: 1617 S 61ST CT
City: Cicero
State: Illinois
ZIP Code: 60804-1624
Phone: (708) 307-6657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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