Moore, Lillian

Moore, Lillian is an individual health care provider with primary practice located at 4724 West 175Th Place , Country Club Hills IL 60478. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Moore, Lillian can be contacted via phone (708) 253-8845.

Contact Information

Primary practice address
4724 West 175Th Place Country Club Hills IL 60478
Phone: (708) 253-8845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209011565 Illinois

Profile Details

NPI number 1447663398
LBN Legal business name Moore, Lillian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Jun 9th, 2014 - about 12 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.

Request for update

Popular Providers