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Leslie Moyar
Acute Care Nurse Practitioner in Bourbonnais, Illinois
NPI 1841732773

Leslie Moyar is an Acute Care Nurse Practitioner based in Chicago, IL and is specialized in Acute Care. Leslie Moyar practices in Bourbonnais, IL. The NPI Number for Leslie Moyar is 1841732773 and holds a License No. 209.015115 (Illinois).

The current practice location address for Leslie Moyar is 475 Brown Blvd Ste 103, Bourbonnais, IL and can be reached out via phone at 815-937-7962.

Location: 475 Brown Blvd Ste 103, Bourbonnais, IL, 60657-1894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841732773
Provider Name
Leslie Moyar
Credential
Provider Entity Type
Individual
Gender
Female
Address
475 Brown Blvd Ste 103, Bourbonnais, IL, 60657-1894
Phone Number
815-937-7962
Fax Number
Provider Enumeration Date
11/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 Brown Blvd Ste 103
City
Bourbonnais
State
Illinois
Zip
60914-2325
Phone Number
815-937-7962
Fax Number
person
Provider Business Mailing Address Details
Address
475 Brown Blvd Ste 103
City
Bourbonnais
State
Illinois
Zip
60914-2325
Phone Number
815-937-7962
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
209.015115 (Illinois)
Definition
Definition to come...
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