John D Moore is a Professional in Chicago, Illinois. John D Moore practices all healthcare services and medical treatments related to Professional. The NPI Number for John D Moore is 1013993328. The last update date is 2007-07-08.
John D Moore's current location address is 4343 N Clarendon Ave, Chicago, Illinois. You can contact this provider via phone number 7737045300. The mailing address for John D Moore is 4343 N Clarendon Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Moore |
|---|---|
| Address | 4343 N Clarendon Ave, Chicago, Illinois |
| Phone Number | 7737045300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1013993328 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4343 N Clarendon Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606132698 |
| Phone Number | 7737045300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1635350 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to John D Moore?
The John D Moore has been issued the NPI (National Provider Identifier) 1013993328 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where John D Moore is located?
The John D Moore is situated at the following address: 4343 N Clarendon Ave, Chicago, IL, 606132698.
What is the John D Moore's specialty and taxonomy code?
The John D Moore's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the John D Moore receive its 1013993328 assignment from the Centers for Medicare & Medicaid Services?
The John D Moore was assigned its 1013993328 by the Centers for Medicare & Medicaid Services on 2005-12-19.
As of what date were the John D Moore's details last updated?
The information pertaining to the John D Moore, including its address, specialty, and other details, was most recently updated on 2007-07-08.