Individual provider · Type 1 NPI

Luis Andres Moreno

Student in an Organized Health Care Education/Training Program · Cicero, IL

NPI number 1124983077 Active

Practice location

1617 S 61st Ct
Cicero, IL 60804-1624

Call (708) 307-6657 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1124983077

Luis Andres Moreno's National Provider Identifier is 1124983077, issued on Dec 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cicero, IL. The record was last updated on Dec 22, 2025.