Moore, Melissa Delarosa
Moore, Melissa Delarosa is an individual health care provider with primary practice located at 100 S Brainard Ave , La Grange IL 60525-2100. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Moore, Melissa Delarosa can be contacted via phone (708) 579-6520.Contact Information
Primary practice address
100 S Brainard Ave
La Grange IL 60525-2100
Phone: (708) 579-6520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 2016676 | Illinois |
Profile Details
| NPI number | 1821689852 |
|---|---|
| LBN Legal business name | Moore, Melissa Delarosa |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2021 |
| Last updated | Feb 2nd, 2021 - about 4 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.
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