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Lillian Moore
Primary Care Nurse Practitioner in Country Club Hills, Illinois
NPI 1447663398

Lillian Moore is a Primary Care Nurse Practitioner based in Country Club Hills, IL and is specialized in Primary Care. Lillian Moore practices in Country Club Hills, IL. The NPI Number for Lillian Moore is 1447663398 and holds a License No. 209011565 (Illinois).

The current practice location address for Lillian Moore is 4724 West 175Th Place, Country Club Hills, IL and can be reached out via phone at 708-253-8845.

Location: 4724 West 175Th Place, Country Club Hills, IL, 60478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447663398
Provider Name
Lillian Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
4724 West 175Th Place, Country Club Hills, IL, 60478
Phone Number
708-253-8845
Fax Number
Provider Enumeration Date
06/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4724 West 175Th Place
City
Country Club Hills
State
Illinois
Zip
60478
Phone Number
708-253-8845
Fax Number
person
Provider Business Mailing Address Details
Address
4724 West 175Th Place
City
Country Club Hills
State
Illinois
Zip
60478
Phone Number
708-253-8845
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
209011565 (Illinois)
Definition
Definition to come...
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