Individual provider · Type 1 NPI

Michelle Moore

Student in an Organized Health Care Education/Training Program · La Grange Park, IL

NPI number 1114373495 Active

Practice location

333 N La Grange Rd
La Grange Park, IL 60526-5646

Fax (708) 698-5090

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114373495

Michelle Moore's National Provider Identifier is 1114373495, issued on May 5, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Grange Park, IL. The record was last updated on May 5, 2016.