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

Luis Andres Moreno

Individual provider Athletic Trainer · NPI 1124983077

Luis Andres Moreno is an Athletic Trainer in Cicero, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1617 S 61st Ct
Cicero, IL 60804-1624
Phone: (708) 307-6657
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1124983077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 22, 2025
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025
Mailing address1617 S 61st Ct, Cicero, IL 60804-1624

Other providers in Cicero