Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS M MOORE, PHD
Active247ZC0005X · CHICAGO, IL
Registration Details
- NPI Number
- 1073017679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2018 (8.0922701657047 yrs)
- Last Updated
- Mar 20, 2018
Practice Information
- Address
-
1653 W CONGRESS PKWY STE 1173CHICAGO, IL, 606123833Browse IL providers · Browse ZIP 60612
- Phone
- 3129423214
- Fax
- 3129426787
- Primary Specialty
-
247ZC0005X
247ZC0005X
- Additional Specialty
- 247ZC0005X
Other 247ZC0005X Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| CHAO QI | PHD | 1972946812 |
| DEANNA FRANKE | PHD, DABCC | 1740687482 |
| DR. MADINA SUKHANOVA | PHD | 1629575972 |
| STEVEN ABU SHAQRA | DOCTOR, PHD | 1144816356 |
| SHALANDA LEWIS | — | 1134888480 |
| TYIESHA WILSON | — | 1891455168 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.