Moore, Mary Ellen

Moore, Mary Ellen is an individual health care provider with primary practice located at 4301 W 95Th St Ste 1 , Oak Lawn IL 60453-2698. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moore, Mary Ellen can be contacted via phone (708) 425-5500.

Contact Information

Primary practice address
4301 W 95Th St Ste 1 Oak Lawn IL 60453-2698
Phone: (708) 425-5500
Fax: (708) 425-0771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.061971 Illinois

Profile Details

NPI number 1730434879
LBN Legal business name Moore, Mary Ellen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2012
Last updated Dec 28th, 2021 - about 5 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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