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Kevin Patrick Moore, DC
Chiropractor in Park Ridge, Illinois
NPI 1558432831

Kevin Patrick Moore is a Chiropractor based in Park Ridge, IL. Kevin Patrick Moore practices in Park Ridge, IL and has the professional credentials of DC. The NPI Number for Kevin Patrick Moore is 1558432831 and holds a License No. 038-005366 (Illinois).

The current practice location address for Kevin Patrick Moore is 2604 Dempster St, Park Ridge, IL and can be reached out via phone at 847-635-8080 and via fax at 847-390-8080.

Location: 2604 Dempster St, Park Ridge, IL, 60068-8412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558432831
Provider Name
Kevin Patrick Moore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2604 Dempster St, Park Ridge, IL, 60068-8412
Phone Number
847-635-8080
Fax Number
847-390-8080
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016-36062 01 IL BLUE CROSS BLUE SHIELD
1649460270 01 IL CORPORATE NPI
K14265 01 MEDICARE MEMBER NUMBER
institution
Provider Business Practice Location Address Details
Address
2604 Dempster St
City
Park Ridge
State
Illinois
Zip
60068-8412
Phone Number
847-635-8080
Fax Number
847-390-8080
person
Provider Business Mailing Address Details
Address
2604 Dempster St
City
Park Ridge
State
Illinois
Zip
60068-8412
Phone Number
847-635-8080
Fax Number
847-390-8080
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-005366 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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