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

Michelle Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114373495

Michelle Moore is a Student in an Organized Health Care Education/Training Program in LA Grange Park, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

333 N La Grange Rd
LA Grange Park, IL 60526-5646
Phone: (708) 745-5277
Fax: (708) 698-5090
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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

Record details

NPI number1114373495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 5, 2016
Last updated in NPPESMay 5, 2016
Mailing address333 N La Grange Rd, La Grange Park, IL 60526-5646

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