Kellie L. Moore
Oral & Maxillofacial Surgery · Chicago, IL
UnclaimedNPI 1942705140
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2018-03-28
- Practice location
- Chicago, IL
- Last NPPES update
- 2021-06-22
State licenses
- IL · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.