Individual provider · Type 1 NPI
Ellen Moon, NP
Family Nurse Practitioner · Chicago, IL
NPI number
1821010281
Active
Practice location
1801 W Taylor St
Chicago, IL 60612-4795
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209015461 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1821010281
Ellen Moon, NP's National Provider Identifier is 1821010281, issued on Jul 24, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Oct 9, 2024.