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LUIS ANDRES MORENO
NPI 1124983077
Student in an Organized Health Care Education/Training Program in Cicero, IL

Active since December 22, 2025
1617 S 61ST CT, CICERO, IL 60804(708) 307-6657 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis Andres Moreno NPPES

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

LUIS ANDRES MORENO (NPI 1124983077) is an individual student in an organized health care education/training program in Cicero, Illinois and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1124983077
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUIS ANDRES MORENO
Location Address1617 S 61ST CTCicero, IL 60804-1624
Mailing Address1617 S 61st CtCicero, IL 60804-1624
Phone(708) 307-6657
Sole ProprietorNo
Enumeration DateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1124983077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1617 S 61ST CT, Cicero, IL 60804
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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 Luis Moreno's NPI number?

The NPI number for Luis Moreno is 1124983077. It was assigned to this individual provider in the NPPES registry on December 22, 2025.

Where is Luis Moreno located?

Luis Moreno practices at 1617 S 61st Ct, Cicero, IL 60804. The listed phone number is (708) 307-6657.

What is Luis Moreno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Luis Moreno was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.