Healthcare Provider Details

I. General information

NPI: 1821952946
Provider Name (Legal Business Name): MOORE HOPE CLINICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9631 W 153RD ST STE 33
ORLAND PARK IL
60462-3778
US

IV. Provider business mailing address

9631 W 153RD ST STE 33
ORLAND PARK IL
60462-3778
US

V. Phone/Fax

Practice location:
  • Phone: 630-800-9905
  • Fax:
Mailing address:
  • Phone: 630-800-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LAURA MOORE
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 630-800-9905