TIMOTHY MOORE
NPI 1144830605
Counselor - Professional in Bolingbrook, IL

Active since August 08, 2020
150 QUEENSWOOD RD, BOLINGBROOK, IL 60440(773) 632-7705 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Moore NPPES

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

TIMOTHY MOORE (NPI 1144830605) is an individual professional provider in Bolingbrook, Illinois and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1144830605
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTIMOTHY MOORE
Location Address150 QUEENSWOOD RDBolingbrook, IL 60440-2578
Mailing Address150 Queenswood RdBolingbrook, IL 60440-2578
Sole ProprietorNo
Enumeration DateAugust 8, 2020
NPPES CertifiedAugust 8, 2020
NPI 1144830605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
150 QUEENSWOOD RD, Bolingbrook, IL 60440

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 Timothy Moore's NPI number?

The NPI number for Timothy Moore is 1144830605. It was assigned to this individual provider in the NPPES registry on August 8, 2020.

Where is Timothy Moore located?

Timothy Moore practices at 150 Queenswood Rd, Bolingbrook, IL 60440. The listed phone number is (773) 632-7705.

What is Timothy Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Timothy Moore was last updated on August 8, 2020. 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.