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MS. THERESA M MOULTON LMT
NPI 1790199164
Specialist in Waukegan, IL

Active since June 13, 2014
1400 SUNSET AVE, SUITE 5, WAUKEGAN, IL 60087(224) 730-9331 Get Directions Write a Review

NPPES record last updated: June 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Theresa M Moulton Lmt NPPES

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

MS. THERESA M MOULTON LMT (NPI 1790199164) is an individual specialist in Waukegan, Illinois, licensed in Illinois (227-013352) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1790199164
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. THERESA M MOULTONCredential: LMT
Location Address1400 SUNSET AVE, SUITE 5Waukegan, IL 60087-4806
Mailing Address1400 Sunset Ave, Suite 5Waukegan, IL 60087-4806 · (224) 730-9331
Phone(224) 730-9331
Sole ProprietorYes
Enumeration DateJune 13, 2014
✔ NPI 1790199164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 227-013352
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1400 SUNSET AVE, Waukegan, IL 60087
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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 Theresa Moulton's NPI number?

The NPI number for Theresa Moulton is 1790199164. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Theresa Moulton located?

Theresa Moulton practices at 1400 Sunset Ave Suite 5, Waukegan, IL 60087. The listed phone number is (224) 730-9331.

What is Theresa Moulton's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Theresa Moulton was last updated on June 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.