Moore, Carol J
Moore, Carol J is an individual health care provider with primary practice located at 11308 Distinctive Dr , Orland Park IL 60467-9459. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Moore, Carol J can be contacted via phone (708) 479-6460.Contact Information
Primary practice address
11308 Distinctive Dr
Orland Park IL 60467-9459
Phone: (708) 479-6460
Fax: (708) 479-6462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 016004283 | Illinois |
Profile Details
| NPI number | 1801856927 |
|---|---|
| LBN Legal business name | Moore, Carol J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jan 4th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801856927 | NPPES |
| Illinois | Other | 016004283 | ILLINOIS LICENSE NUMBER |
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