Nycole Moore
Nycole Moore is a Nurse Practitioner in Chicago, Illinois. Qualified in 2024, 2 years ago. Licensed in Illinois.
- Years since qualifying
- 2
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
5401 S Wentworth AveChicago, IL 60609-6300
Phone: (773) 288-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209031400 (IL) |
|---|
Record details
| NPI number | 1760365753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | July 28, 2025 |
| Last updated in NPPES | July 28, 2025 |
| Certification date | July 28, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
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