NPI 1073017679

Nicholas M Moore, PHD

Practitioner Clinical Laboratory Director (Non-physician) Chicago, IL

Practice location

Address: 1653 W Congress Pkwy STE 1173, Chicago, IL 60612-3833
Phone: (312) 942-3214
Fax: (312) 942-6787

Registered specialties (2)

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X

Other Technician, Pathology providers in Illinois →

Medical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Illinois →

Registry record

NPI: 1073017679
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2018
Record last updated: 20 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.