Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE LYNN MOORE
ActiveKELLIE LYNN MOORE is a Oral & Maxillofacial Surgery healthcare provider located in CHICAGO, Illinois. NPI 1942705140 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CHICAGO, IL
Registration Details
- NPI Number
- 1942705140
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2018 (8.4215297260813 yrs)
- Last Updated
- Jun 22, 2021
- Licenses
-
019031614 (IL)019031614 (IL)
Practice Information
- Address
-
251 E HURON STCHICAGO, IL, 60611Browse IL providers · Browse ZIP 60611
- Phone
- 3129262000
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL A. KRELL | D.D.S., M.S. | 1669470217 |
| DR. BRUCE MICHAEL REUBEN | D.D.S., M.S. | 1508864158 |
| MR. LAWRENCE H ZAGER | DDS | 1245227867 |
| DR. DAVID S. EVASKUS | D.D.S., M.S. | 1285657833 |
| DR. STEVEN KAHN | D.D.S., O.M.S. | 1578579488 |
| GENE SBALCHIERO | DDS | 1265547467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.