Justin Anthony Moore

NPI #1487005393 in Northfield, Illinois

Provider Information

NPI Number: 1487005393
Entity Type: Individual
Name: Justin Anthony Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jun 22, 2016
Last Updated: Dec 1, 2023

Practice Location

Address: 400 CENTRAL AVE STE 220
City: Northfield
State: Illinois
ZIP Code: 60093-3024
Phone: (847) 996-9994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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