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

Kelvin Lamont Moore Jr.

Individual provider Surgery Physician · NPI 1982405114

Kelvin Lamont Moore Jr. is a Surgery Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

251 E Huron St
Chicago, IL 60611-3055
Phone: (312) 926-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125.086001 (IL)

Record details

NPI number1982405114
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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