Individual provider · Type 1 NPI
Tara Moore, APN
Nurse Practitioner · Chicago, IL
Practice location
2301 E 93rd St
Chicago, IL 60617-3913
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 10408 N Centerway Dr Ste Cde, Peoria, IL 61615-1234 · (309) 308-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 16006-33 (WI) |
| Nurse Practitioner Primary | 363L00000X | 209017428 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1538665609
Tara Moore, APN's National Provider Identifier is 1538665609, issued on Apr 5, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Jan 14, 2025.