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1821010281
ELLEN MOON
CHICAGO, IL
NPI
1821010281
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Other Name
ELLEN J LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209015461)
Enumeration Date
2006-07-24
Last Update Date
2024-10-09
Business Address
ELLEN MOON NP
1801 W TAYLOR ST
CHICAGO, IL 60612-4795
Phone number: 312-996-3631
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Mailing Address
ELLEN MOON NP
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number:
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