NPI 1437722949
Wanda Terrell Moore- Wilson, MBCCNAMOA
Practice location
- Address
- 5612 S Wabash Ave # Apty5, Chicago, IL 60637-1155
- Phone
- (312) 481-3779
- Mailing address
- 5612 S Wabash Ave APT 5, Chicago, IL 60637-1155
Registered specialties
Health Information Technician
Primary
Registry record
- NPI
- 1437722949
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jul 2021
- Record last updated
- 19 Nov 2023
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.