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RAVEN MOORE MSAC
NPI 1053986802
Acupuncturist in Oak Park, IL

Active since May 24, 2021
147 HARRISON ST, OAK PARK, IL 60304(708) 400-5574(708) 613-9293 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Moore Msac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN MOORE MSAC (NPI 1053986802) is an individual acupuncturist in Oak Park, Illinois, licensed in Illinois (198.001369) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1053986802
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameRAVEN MOORECredential: MSAC
Location Address147 HARRISON STOak Park, IL 60304-1679
Mailing Address378 Hogan StBolingbrook, IL 60490-2128
Phone(708) 400-5574
Fax(708) 613-9293
Sole ProprietorYes
Enumeration DateMay 24, 2021
NPPES CertifiedMay 21, 2021
✔ NPI 1053986802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in IL · 198.001369
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
147 HARRISON ST, Oak Park, IL 60304
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE HARRIS D.C.
Chiropractor
147 HARRISON ST
OAK PARK, IL 60304
Cook County (630) 508-0546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Moore's NPI number?

The NPI number for Raven Moore is 1053986802. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Raven Moore located?

Raven Moore practices at 147 Harrison St, Oak Park, IL 60304. The listed phone number is (708) 400-5574.

What is Raven Moore's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Raven Moore was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.