Moore, Tali

Moore, Tali is an individual health care provider with primary practice located at 1675 Dempster St , Park Ridge IL 60068-1110. 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, Tali can be contacted via phone (847) 318-9300.

Contact Information

Primary practice address
1675 Dempster St Park Ridge IL 60068-1110
Phone: (847) 318-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125078811 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1679152169
LBN Legal business name Moore, Tali
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2021
Last updated Jun 14th, 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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