Provider Demographics
NPI:1760939623
Name:THE MOODO INSURANCE GROUP
Entity Type:Organization
Organization Name:THE MOODO INSURANCE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ODOOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-834-7856
Mailing Address - Street 1:332 S MICHIGAN AVE
Mailing Address - Street 2:STE 1032
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-4434
Mailing Address - Country:US
Mailing Address - Phone:312-834-7856
Mailing Address - Fax:
Practice Address - Street 1:332 S MICHIGAN AVE
Practice Address - Street 2:STE 1032
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-4434
Practice Address - Country:US
Practice Address - Phone:312-834-7856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MOODO GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage