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Taneisha Moore
Other Technician in Evergreen Park, Illinois
NPI 1952032633

Taneisha Moore is a Other Technician based in Steger, IL. Taneisha Moore practices in Evergreen Park, IL. The NPI Number for Taneisha Moore is 1952032633 and holds a License No. (Illinois).

The current practice location address for Taneisha Moore is 2829 W 87Th St, Evergreen Park, IL and can be reached out via phone at 773-370-3726 and via fax at 773-352-9492.

Location: 2829 W 87Th St, Evergreen Park, IL, 60475-5933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952032633
Provider Name
Taneisha Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
2829 W 87Th St, Evergreen Park, IL, 60475-5933
Phone Number
773-370-3726
Fax Number
773-352-9492
Provider Enumeration Date
06/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2829 W 87Th St
City
Evergreen Park
State
Illinois
Zip
60805-1135
Phone Number
773-370-3726
Fax Number
773-352-9492
person
Provider Business Mailing Address Details
Address
2829 W 87Th St
City
Evergreen Park
State
Illinois
Zip
60805-1135
Phone Number
773-370-3726
Fax Number
773-352-9492
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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