Individual
DR. KRISTIN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4755 N KENMORE AVE, CHICAGO, IL 60640-5015
(515) 450-2830
Mailing address
1367 N HOYNE AVE, UNIT 1, CHICAGO, IL 60622-3020
(515) 450-2830
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036134628
IL
2084P0800X
Psychiatry Physician
125-058402
IL
Other
Enumeration date
06/25/2010
Last updated
04/29/2014
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