Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnathan Moore

Individual provider Marriage & Family Therapist · NPI 1902603152

Johnathan Moore is a Marriage & Family Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

3000 N Halsted St Ste 803
Chicago, IL 60657-6185
Phone: (312) 376-1665
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 208001229 (IL)

Record details

NPI number1902603152
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025

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