Moore, Kevin Patrick

Moore, Kevin Patrick is an individual health care provider with primary practice located at 2604 Dempster St Ste 304, Park Ridge IL 60068-8412. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Moore, Kevin Patrick can be contacted via phone (847) 635-8080.

Contact Information

Primary practice address
2604 Dempster St Ste 304 Park Ridge IL 60068-8412
Phone: (847) 635-8080
Fax: (847) 390-8080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-005366 Illinois

Profile Details

NPI number 1558432831
LBN Legal business name Moore, Kevin Patrick
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558432831 NPPES
Illinois Other 016-36062 BLUE CROSS BLUE SHIELD
Illinois Other 1649460270 BLUE CROSS BLUE SHIELD
Illinois Other K14265 BLUE CROSS BLUE SHIELD

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