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Dr. Renata Charissa Moore, MD
Radiation Oncology Physician in Decatur, Illinois
NPI 1851483572

Renata Charissa Moore is a Radiation Oncology Physician based in Decatur, IL and is specialized in Radiation Oncology. Renata Charissa Moore practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Renata Charissa Moore is 1851483572 and holds a License No. 036093129 (Illinois).

The current practice location address for Renata Charissa Moore is 1990 E Lake Shore Dr, Decatur, IL and can be reached out via phone at 217-464-2900 and via fax at 217-464-2909.

Location: 1990 E Lake Shore Dr, Decatur, IL, 62526-5858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851483572
Provider Name
Renata Charissa Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1990 E Lake Shore Dr, Decatur, IL, 62526-5858
Phone Number
217-464-2900
Fax Number
217-464-2909
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036093129 05 IL
institution
Provider Business Practice Location Address Details
Address
1990 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3811
Phone Number
217-464-2900
Fax Number
217-464-2909
person
Provider Business Mailing Address Details
Address
1990 E Lake Shore Dr
City
Decatur
State
Illinois
Zip
62521-3811
Phone Number
217-464-2900
Fax Number
217-464-2909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
036093129 (Illinois)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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