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Contact Information

LOIS B MOORE, CNA / CTS
5306 S HOYNE AVE
CHICAGO, IL60609-5543
 Phone: 773-603-0644
 Fax: 773-471-3222
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for

NPI # 1316188493
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/18/2009
Last updated 08/05/2009 - About 17 years ago
Identifiers
IL License # 208269611
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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