Moore, Susan

Moore, Susan is an individual health care provider with primary practice located at 1725 W Harrison St Suite 855, Chicago IL 60612-3841. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moore, Susan can be contacted via phone (312) 942-5904.

Contact Information

Primary practice address
1725 W Harrison St Suite 855 Chicago IL 60612-3841
Phone: (312) 942-5904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Illinois

Profile Details

NPI number 1548220254
LBN Legal business name Moore, Susan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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