Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA M MOULTON, LMT
Active Sole ProprietorMS. THERESA M MOULTON, LMT is a Specialist healthcare provider located in WAUKEGAN, Illinois. NPI 1790199164 is currently active in the NPPES registry. Verify at CMS.
Specialist · WAUKEGAN, IL
Registration Details
- NPI Number
- 1790199164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2014 (11.986777435545 yrs)
- Last Updated
- Jun 13, 2014
- License
-
227-013352 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1400 SUNSET AVESUITE 5WAUKEGAN, IL, 600874806Browse IL providers · Browse ZIP 60087
- Phone
- 2247309331
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WAUKEGAN, IL
| Name | Credential | NPI |
|---|---|---|
| DAVID A FETTER | M.D. | 1871588186 |
| DR. JAANA KRISTIINA AVRAMIDIS | M.D. | 1720075740 |
| BRUCE E SANDS | M.D. | 1073611190 |
| SULAY M ARIAS | — | 1245942598 |
| PAIGE GUIBOURDANCHE | — | 1841074564 |
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.