Moore Dermatology Sc

NPI #1659552875 in Melrose Park, Illinois

Provider Information

NPI Number: 1659552875
Entity Type: Organization
Organization Name: Moore Dermatology Sc
Primary Specialty: Dermatology
Enumeration Date: Nov 15, 2007
Last Updated: Feb 17, 2021

Practice Location

Address: 501 W NORTH AVE STE 103
City: Melrose Park
State: Illinois
ZIP Code: 60160-1603
Phone: (708) 450-5086

Authorized Official

Name: JULIE A MOORE, MD
Title: PHYSICIAN
Phone: (708) 450-5086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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