Individual provider · Type 1 NPI

Susan M. Moylan, NP

Pediatric Nurse Practitioner · Chicago, IL

NPI number 1275553950 Active

Practice location

2300 N Childrens Plz, Box 24
Chicago, IL 60614-3363

Call (773) 880-4428 Map

Fax (773) 880-3339

Mailing address

2300 Childrens Plz, Box 24
Chicago, IL 60614-3394

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	28107622A (IN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1275553950

Susan M. Moylan, NP's National Provider Identifier is 1275553950, issued on Jul 19, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Mar 17, 2008.