BRANDIE MOORE

CHICAGO, IL
NPI1114644622
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.026179)
Enumeration Date2022-10-25
Last Update Date2022-10-25
Business Address
BRANDIE MOORE
2645 W LAWRENCE AVE
CHICAGO, IL 60625-2944
Phone number: 773-275-1680
Mailing Address
BRANDIE MOORE
3271 WEST ADDISON STREET UNIT 1
CHICAGO, IL 60618
Phone number: 864-200-8345
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