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Dr. Timothy Kevin Moore, DC
Chiropractor in South Elgin, Illinois
NPI 1578592903

Timothy Kevin Moore is a Chiropractor based in South Elgin, IL. Timothy Kevin Moore practices in South Elgin, IL and has the professional credentials of DC. The NPI Number for Timothy Kevin Moore is 1578592903 and holds a License No. 038004893 (Illinois).

The current practice location address for Timothy Kevin Moore is 101 S Mclean Blvd Ste A, South Elgin, IL and can be reached out via phone at 847-717-3400 and via fax at 847-255-7945. You can also correspond with Timothy Kevin Moore through the mailing address at 101 S MCLEAN BLVD STE A, SOUTH ELGIN, IL - 60177-1830 (mailing address contact number: 847-717-3400).

Location: 101 S Mclean Blvd Ste A, South Elgin, IL, 60177-1830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578592903
Provider Name
Timothy Kevin Moore
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
101 S Mclean Blvd Ste A, South Elgin, IL, 60177-1830
Phone Number
847-717-3400
Fax Number
847-255-7945
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4515230 01 IL BLUE CROSS BLUE SHIELD
038004893 05 IL
institution
Provider Business Practice Location Address Details
Address
101 S Mclean Blvd Ste A
City
South Elgin
State
Illinois
Zip
60177-1830
Phone Number
847-717-3400
Fax Number
847-255-7945
person
Provider Business Mailing Address Details
Address
101 S Mclean Blvd Ste A
City
South Elgin
State
Illinois
Zip
60177-1830
Phone Number
847-717-3400
Fax Number
847-255-7945
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038004893 (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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