Moore, Mary Catherine
Moore, Mary Catherine is an individual health care provider with primary practice located at 825 S Milwaukee Ave Fl 2 , Libertyville IL 60048-3218. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Moore, Mary Catherine can be contacted via phone (847) 680-8066.Contact Information
Primary practice address
825 S Milwaukee Ave Fl 2
Libertyville IL 60048-3218
Phone: (847) 680-8066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.077460 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.166308 | Illinois |
Profile Details
| NPI number | 1407434517 |
|---|---|
| LBN Legal business name | Moore, Mary Catherine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2021 |
| Last updated | Jun 19th, 2024 - about 2 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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