Individual
MS. KELLY J MOYER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., C.G.C.
Contact information
Practice address
2160 SOUTH FIRST AVE, RM.1024/BUILD 103 - OB/GYN, LUMC, MAYWOOD, IL 60153
(708) 216-8167
Mailing address
1152 S GROVE AVE, OAK PARK, IL 60304-1941
(708) 445-9917
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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