Individual provider · Type 1 NPI
Leslie Moyar
Acute Care Nurse Practitioner · Bourbonnais, IL
NPI number
1841732773
Active
Practice location
475 Brown Blvd Ste 103
Bourbonnais, IL 60914-2325
Mailing address
3530 N Lake Shore Dr, Apt 7B
Chicago, IL 60657-1894
Other practice locations
- 10830 S Halsted St, Chicago, IL 60628-3126 · (773) 785-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209.015115 (IL) |
Acute Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1841732773
Leslie Moyar's National Provider Identifier is 1841732773, issued on Nov 9, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bourbonnais, IL. The record was last updated on Jan 14, 2022.