Moore, John D
Moore, John D is an sole proprietor health care provider with primary practice located at 4343 N Clarendon Ave #2212, Chicago IL 60613-2698. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Moore, John D can be contacted via phone (773) 704-5300.Contact Information
Primary practice address
4343 N Clarendon Ave #2212
Chicago IL 60613-2698
Phone: (773) 704-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1013993328 |
|---|---|
| LBN Legal business name | Moore, John D |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013993328 | NPPES |
| Illinois | Other | 01635350 | BLUE CROSS BLUE SHIELD |
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