KENNETH LAWRENCE MOORE

BURR RIDGE, IL
NPI1891899258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: IL  036-053328)
Enumeration Date2006-09-07
Last Update Date2016-01-20
Business Address
Dr. KENNETH LAWRENCE MOORE M.D.
12 TARTAN RIDGE RD
BURR RIDGE, IL 60527-8904
Phone number: 630-323-1316
Mailing Address
Dr. KENNETH LAWRENCE MOORE M.D.
12 TARTAN RIDGE ROAD
BURR RIDGE, IL 60527-8904
Phone number: 630-323-1316
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