Individual provider · Type 1 NPI
Lillian Moore
Primary Care Nurse Practitioner · Country Club Hills, IL
NPI number
1447663398
Active
Practice location
4724 West 175th Place
Country Club Hills, IL 60478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209011565 (IL) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1447663398
Lillian Moore's National Provider Identifier is 1447663398, issued on Jun 9, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Country Club Hills, IL. The record was last updated on Jun 9, 2014.