Raven Moore, MSAC

Acupuncturist · Oak Park, IL

Individual Active NPI

NPI number 1053986802

Practice location

147 Harrison St
Oak Park, IL 60304-1679
Phone
(708) 400-5574
Fax
(708) 613-9293

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NPI record

NPI
1053986802
Entity type
Individual (Type 1)
Enumeration date
May 24, 2021
Last updated
May 24, 2021
Certified
May 21, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Acupuncturist Primary 171100000X 198.001369 IL

Mailing address

378 Hogan St
Bolingbrook, IL 60490-2128

About Raven Moore

Raven Moore, MSAC is a healthcare provider registered in the NPI registry with the primary taxonomy Acupuncturist (code 171100000X). The practice location is 147 Harrison St, Oak Park, IL 60304-1679. The NPI number 1053986802 was assigned on May 24, 2021 and the record was last updated on May 24, 2021.

Raven Moore lists a license in the registry: #198.001369 (IL) for Acupuncturist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Raven Moore, MSAC?

The NPI number is 1053986802.

What is the phone number of Raven Moore?

The phone number listed for the practice location is (708) 400-5574.

Where is Raven Moore located?

147 Harrison St, Oak Park, IL 60304-1679.

What is the taxonomy code for Raven Moore?

The primary taxonomy code is 171100000X – Acupuncturist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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