Taneisha Moore
Taneisha Moore is an Other Technician in Evergreen Park, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2829 W 87th StEvergreen Park, IL 60805-1135
Phone: (773) 370-3726
Fax: (773) 352-9492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1952032633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2022 |
| Last updated in NPPES | June 23, 2022 |
| Certification date | June 23, 2022 |
| Mailing address | 22829 Oakland Dr, Steger, IL 60475-5933 |