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

Raven Moore, MSAC

Individual provider Acupuncturist · NPI 1053986802

Raven Moore, MSAC is an Acupuncturist in Oak Park, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

147 Harrison St
Oak Park, IL 60304-1679
Phone: (708) 400-5574
Fax: (708) 613-9293
Show map & directions

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

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 198.001369 (IL)

Record details

NPI number1053986802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSAC
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESMay 24, 2021
Certification dateMay 21, 2021
Mailing address378 Hogan St, Bolingbrook, IL 60490-2128

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