Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE GLYNISE MOORE, EARLY INTERVENTION P
Active Sole ProprietorMRS. MICHELLE GLYNISE MOORE, EARLY INTERVENTION P is a Early Intervention Provider Agency healthcare provider located in BLUE ISLAND, Illinois. NPI 1760649628 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1760649628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2008 (18.054061641961 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
150107720 (IL)149027689 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
PO BOX 658BLUE ISLAND, IL, 60406Browse IL providers · Browse ZIP 60406
- Phone
- 7086980714
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Early Intervention Provider Agency
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.