Renee Moore, is a
Speech-language Pathologist based in Gardner, Illinois. Renee Moore is licensed to practice in Illinois (license number 242.000986) and her current practice location is
6110 E Main Rd, Gardner, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 237-8121.
NPI number for Renee Moore is 1750520896 and her current mailing address is 6110 E Main Rd, Gardner, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750520896.
Healthcare Provider's Profile
| Full Name | Renee Moore |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 6110 E Main Rd, Gardner, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750520896
- Provider Enumeration Date: 02/12/2009
- Last Update Date: 02/12/2009
Medical Identifiers
Medical identifiers for Renee Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750520896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 242.000986 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renee Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Renee Moore, 6110 E Main Rd, Gardner, IL 60424-6146 Ph: (815) 237-8121 | Renee Moore, 6110 E Main Rd, Gardner, IL 60424-6146 Ph: (815) 237-8121 |
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