Search › Illinois › Addiction Medicine (Psychiatry & Neurology) Physician
Kenneth Moore, M.D
NPI 1891899258 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12 Tartan Ridge Rd
Burr Ridge, IL 60527 - Phone
- (630) 323-1316
Registry record
- Primary taxonomy
- Addiction Medicine (Psychiatry & Neurology) Physician
2084A0401X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois