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Michelle Moore
Student in an Organized Health Care Education/Training Program in La Grange Park, Illinois
NPI 1114373495

Michelle Moore is a Student in an Organized Health Care Education/Training Program based in La Grange Park, IL. Michelle Moore practices in La Grange Park, IL. The NPI Number for Michelle Moore is 1114373495 and holds a License No. (Illinois).

The current practice location address for Michelle Moore is 333 N La Grange Rd, La Grange Park, IL and can be reached out via phone at 708-745-5277 and via fax at 708-698-5090.

Location: 333 N La Grange Rd, La Grange Park, IL, 60526-5646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114373495
Provider Name
Michelle Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
333 N La Grange Rd, La Grange Park, IL, 60526-5646
Phone Number
708-745-5277
Fax Number
708-698-5090
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
708-698-5090
person
Provider Business Mailing Address Details
Address
333 N La Grange Rd
City
La Grange Park
State
Illinois
Zip
60526-5646
Phone Number
708-745-5277
Fax Number
708-698-5090
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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