Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Therese Moore, RN, DNPSTUDENT

Individual provider Ambulatory Care Registered Nurse · NPI 1114516812

Kelly Therese Moore, RN, DNPSTUDENT is an Ambulatory Care Registered Nurse in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3240 W Division St
Chicago, IL 60651-2405
Phone: (312) 413-7425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 041487884 (IL)

Record details

NPI number1114516812
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , DNPSTUDENT
Sole proprietorYes
NPI enumeratedJanuary 16, 2021
Last updated in NPPESJanuary 16, 2021
Certification dateJanuary 16, 2021

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