Moore, Julie A
Moore, Julie A is an sole proprietor health care provider with primary practice located at 501 W North Ave Ste 103 , Melrose Park IL 60160-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Moore, Julie A can be contacted via phone (708) 450-5086.Contact Information
Primary practice address
501 W North Ave Ste 103
Melrose Park IL 60160-1603
Phone: (708) 450-5086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036075509 | Illinois |
Profile Details
| NPI number | 1053373589 |
|---|---|
| LBN Legal business name | Moore, Julie A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Feb 17th, 2021 - about 3 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 | 1053373589 | NPPES |
| Illinois | MEDICAID | 036075509 |
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