Individual provider · Type 1 NPI
Carol J. Moore, D.P.M.
Foot & Ankle Surgery Podiatrist · Orland Park, IL
NPI number
1801856927
Active
Practice location
11308 Distinctive Dr
Orland Park, IL 60467-9459
Fax (708) 479-6462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 016004283 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1801856927
Carol J. Moore, D.P.M.'s National Provider Identifier is 1801856927, issued on Mar 24, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Orland Park, IL. The record was last updated on Jan 4, 2013.