THEODORE LYDELL MOORE

CHICAGO, IL
NPI1386348878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2026-06-26
Business Address
THEODORE LYDELL MOORE
5841 S. MARYLAND AVE. M/C 4076
CHICAGO, IL 60637-1443
Phone number: 773-795-1824
Mailing Address
THEODORE LYDELL MOORE
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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