person
Erica Moore
Driver in Chicago, Illinois
NPI 1710379789

Erica Moore is a Driver based in Chicago, IL. Erica Moore practices in Chicago, IL. The NPI Number for Erica Moore is 1710379789 and holds a License No. (Illinois).

The current practice location address for Erica Moore is 607 W 119Th St, Chicago, IL and can be reached out via phone at 773-255-1524.

Location: 607 W 119Th St, Chicago, IL, 60628-5939
person
Provider Profile Details
NPI Number
1710379789
Provider Name
Erica Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 W 119Th St, Chicago, IL, 60628-5939
Phone Number
773-255-1524
Fax Number
Provider Enumeration Date
02/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
607 W 119Th St
City
State
Zip
60628-5939
Phone Number
773-255-1524
Fax Number
person
Provider Business Mailing Address Details
Address
607 W 119Th St
City
State
Zip
60628-5939
Phone Number
773-255-1524
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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