person
Dr. Carol J Moore, DPM
Foot & Ankle Surgery Podiatrist in Orland Park, Illinois
NPI 1801856927

Carol J Moore is a Foot & Ankle Surgery Podiatrist based in Orland Park, IL and is specialized in Foot & Ankle Surgery. Carol J Moore practices in Orland Park, IL and has the professional credentials of DPM. The NPI Number for Carol J Moore is 1801856927 and holds a License No. 016004283 (Illinois).

The current practice location address for Carol J Moore is 11308 Distinctive Dr, Orland Park, IL and can be reached out via phone at 708-479-6460 and via fax at 708-479-6462.

Location: 11308 Distinctive Dr, Orland Park, IL, 60467-9459
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Provider Profile Details
NPI Number
1801856927
Provider Name
Carol J Moore
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
11308 Distinctive Dr, Orland Park, IL, 60467-9459
Phone Number
708-479-6460
Fax Number
708-479-6462
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016004283 01 IL ILLINOIS LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
11308 Distinctive Dr
City
State
Zip
60467-9459
Phone Number
708-479-6460
Fax Number
708-479-6462
person
Provider Business Mailing Address Details
Address
11308 Distinctive Dr
City
State
Zip
60467-9459
Phone Number
708-479-6460
Fax Number
708-479-6462
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004283 (Illinois)
Definition
Definition to come...
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