Individual provider · Type 1 NPI
Taneisha Moore
Other Technician · Evergreen Park, IL
NPI number
1952032633
Active
Practice location
2829 W 87th St
Evergreen Park, IL 60805-1135
Fax (773) 352-9492
Mailing address
22829 Oakland Dr
Steger, IL 60475-5933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Another provider at this address
About NPI 1952032633
Taneisha Moore's National Provider Identifier is 1952032633, issued on Jun 22, 2022. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Evergreen Park, IL. The record was last updated on Jun 23, 2022.