Juan Carlos Moreno

NPI # 

Practice Address:

6201 W Touhy Ave

Chicago, IL, 60646-1100

Practice Phone:

847-673-5166

License Number:

F09250895

License State:

IL

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X

Updated by NPPES on 9/23/2025. You can view the original data set for NPI # 1184596587 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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