Timothy Moore
NPI #1144830605 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1144830605
- Entity Type
- Individual
- Name
- Timothy Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 8, 2020
- Last Updated
- Aug 8, 2020
Practice Location
- Address
- 150 QUEENSWOOD RD
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2578
- Phone
- (773) 632-7705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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