Moseley, Dominique

Moseley, Dominique is an sole proprietor health care provider with primary practice located at 3008 E Cheltenham Pl Apt 706 , Chicago IL 60649-4854. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Infection Control, Other Service Providers / Case Manager/Care Coordinator, Agencies / Home Health, Nursing Service Providers / Registered Nurse, Agencies / In Home Supportive Care. Nursing Service Providers / Registered Nurse is her primary health care specialty. Moseley, Dominique can be contacted via phone (773) 727-2052.

Contact Information

Primary practice address
3008 E Cheltenham Pl Apt 706 Chicago IL 60649-4854
Phone: (773) 727-2052
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infection Control 163WI0600X 041440738 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Home Health 251E00000X
Nursing Service Providers / Registered Nurse 163W00000X 041440738 Illinois
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1841977188
LBN Legal business name Moseley, Dominique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2023
Last updated Jun 29th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841977188 NPPES
Illinois Other 041440738 REGISTERED NURSE HOME SERVICES
Illinois MEDICAID 041440738 REGISTERED NURSE HOME SERVICES

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