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1548220254
SUSAN MOORE
CHICAGO, IL
NPI
1548220254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209-000483)
Enumeration Date
2006-03-25
Last Update Date
2007-07-08
Business Address
-- SUSAN MOORE N.P.
1725 W HARRISON ST SUITE 855
CHICAGO, IL 60612-3841
Phone number: 312-942-5904
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Mailing Address
-- SUSAN MOORE N.P.
1725 W HARRISON ST SUITE 855
CHICAGO, IL 60612-3841
Phone number: 312-942-5904
Copy
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