Moynihan, Cathy Denise

Moynihan, Cathy Denise is an individual health care provider with primary practice located at 14680 S La Grange Rd , Orland Park IL 60462-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moynihan, Cathy Denise can be contacted via phone (800) 323-8622.

Contact Information

Primary practice address
14680 S La Grange Rd Orland Park IL 60462-2510
Phone: (800) 323-8622
Fax: (224) 225-0375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209004308 Illinois

Profile Details

NPI number 1154478832
LBN Legal business name Moynihan, Cathy Denise
Credentials DNP-FNP-BC-CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 26th, 2024 - about 5 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154478832 NPPES
Illinois MEDICAID 209004308

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