Dr. Kenneth Lawrence Moore, MD
Dr. Kenneth Lawrence Moore, MD is a Neurology in Burr Ridge, Illinois. Graduated from Chicago College of Medicine and Surgery in 1975, 51 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 51
- Trained at
- Chicago College of Medicine and Surgery
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
12 Tartan Ridge RdBurr Ridge, IL 60527-8904
Phone: (630) 323-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084A0401X · Licence 036-053328 (IL) |
|---|
Record details
| NPI number | 1891899258 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 7, 2006 |
| Last updated in NPPES | January 20, 2016 |
| Mailing address | 12 Tartan Ridge Road, Burr Ridge, IL 60527-8904 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduated | 1975 (51 years in practice) |
| Group practice | The Board Of Trustees Of The University Of Illinois — 1142 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |