Individual
KATHLEEN H MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3414 W PETERSON AVE, SUITE D, CHICAGO, IL 60659-3452
(773) 267-0422
(773) 267-0561
Mailing address
2740 W FOSTER AVE, STE LL7, CHICAGO, IL 60625-3543
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036078007
IL
207Q00000X
Family Medicine Physician
Primary
036078007
IL
207V00000X
Obstetrics & Gynecology Physician
036078007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078007
—
IL
Enumeration date
06/03/2006
Last updated
01/29/2024
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