Search › Illinois › 374J00000X
Chanel Moore
NPI 1942980107 · on the registry since 2023 · sole proprietor
Practice
- Address
- 19930 Juniper Ave
Lynwood, IL 60411 - Phone
- (708) 248-4423
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Sex
- Female
- Record last updated
- 2023-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois