Moore, Julie A

Moore, Julie A is an sole proprietor health care provider with primary practice located at 501 W North Ave Ste 103 , Melrose Park IL 60160-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Moore, Julie A can be contacted via phone (708) 450-5086.

Contact Information

Primary practice address
501 W North Ave Ste 103 Melrose Park IL 60160-1603
Phone: (708) 450-5086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036075509 Illinois

Profile Details

NPI number 1053373589
LBN Legal business name Moore, Julie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Feb 17th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053373589 NPPES
Illinois MEDICAID 036075509

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