Carol J Moore D.P.M.

NPI 1801856927 - Podiatrist - 213ES0103X

NPI Details
NPI 1801856927
Gender Female
Enumeration Date 03/24/2006
Last Updated 01/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
11308 DISTINCTIVE DR
ORLAND PARK IL, 60467-9459, US
Phone (708) 479-6460
Fax (708) 479-6462
Business Location
11308 DISTINCTIVE DR
ORLAND PARK IL, 60467-9459, US
Phone (708) 479-6460
Fax (708) 479-6462
Toxanomy
Taxonomy Code 213ES0103X
License State Illinois
License Number 016004283
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According to our database, Dr. Carol J Moore D.P.M. NPI is 1801856927, taxonomy code is 213ES0103X and license number is 016004283, license state is located at Illinois. Carol J Moore D.P.M. physically located at 11308 Distinctive Dr, Orland Park IL, 60467-9459. NPI Number Carol J Moore D.P.M. has the Individual type.

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1801856927 NPI number is provided on an as is basis without warranty of any kind. 1801856927 is maintained by the National Plan & Provider Enumeration System. The contents of Carol J Moore D.P.M. are for informational purposes only.