Moore, Taneisha

Moore, Taneisha is an individual health care provider with primary practice located at 2829 W 87Th St , Evergreen Park IL 60805-1135. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Moore, Taneisha can be contacted via phone (773) 370-3726.

Contact Information

Primary practice address
2829 W 87Th St Evergreen Park IL 60805-1135
Phone: (773) 370-3726
Fax: (773) 352-9492
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1952032633
LBN Legal business name Moore, Taneisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Jun 23rd, 2022 - 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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