Moreno, Jasmine

Moreno, Jasmine is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moreno, Jasmine can be contacted via phone (866) 600-2273.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (866) 600-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036152822 Illinois

Profile Details

NPI number 1043741192
LBN Legal business name Moreno, Jasmine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Aug 24th, 2020 - 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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