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John D Moore, LCPC
Professional Counselor in Chicago, Illinois
NPI 1013993328

John D Moore is a Professional Counselor based in Chicago, IL and is specialized in Professional. John D Moore practices in Chicago, IL and has the professional credentials of LCPC. The NPI Number for John D Moore is 1013993328 and holds a License No. (Illinois).

The current practice location address for John D Moore is 4343 N Clarendon Ave, Chicago, IL and can be reached out via phone at 773-704-5300.

Location: 4343 N Clarendon Ave, Chicago, IL, 60613-2698
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Provider Profile Details
NPI Number
1013993328
Provider Name
John D Moore
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
4343 N Clarendon Ave, Chicago, IL, 60613-2698
Phone Number
773-704-5300
Fax Number
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01635350 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4343 N Clarendon Ave
City
State
Zip
60613-2698
Phone Number
773-704-5300
Fax Number
person
Provider Business Mailing Address Details
Address
4343 N Clarendon Ave
City
State
Zip
60613-2698
Phone Number
773-704-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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