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

Individual provider Primary Care Nurse Practitioner · NPI 1447663398

Lillian Moore is a Primary Care Nurse Practitioner in Country Club Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014
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Practice location Address checks out

4724 W 175th Pl
Country Club Hills, IL 60478
Phone: (708) 253-8845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209011565 (IL)

Record details

NPI number1447663398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESJune 9, 2014