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KELLY THERESE MOORE RN, DNP STUDENT
NPI 1114516812
Registered Nurse - Ambulatory Care in Chicago, IL

Active since January 16, 2021
3240 W DIVISION ST, CHICAGO, IL 60651(312) 413-7425 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Therese Moore Rn, Dnp Student NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY THERESE MOORE RN, DNP STUDENT (NPI 1114516812) is an individual ambulatory care provider in Chicago, Illinois, licensed in Illinois (041487884) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1114516812
Entity TypeIndividualFemale
Primary Taxonomy163WP2201X
Provider Legal NameKELLY THERESE MOORECredential: RN, DNP STUDENT
Location Address3240 W DIVISION STChicago, IL 60651-2405
Mailing Address3240 W Division StChicago, IL 60651-2405 · (312) 413-7425
Phone(312) 413-7425
Sole ProprietorYes
Enumeration DateJanuary 16, 2021
NPPES CertifiedJanuary 16, 2021
✔ NPI 1114516812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in IL · 041487884
3240 W DIVISION ST, Chicago, IL 60651
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERENICE CHAVEZ
Registered Nurse (Emergency)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
CELINA CANTU LCSW
Social Worker (Clinical)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
BERNARD J VONDERHAAR DNP
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MR. MICHAEL ANTHONY HUYCK RN
Nurse Practitioner (Family)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
MITCHELL KORDZIKOWSKI
Nurse Practitioner (Psychiatric/Mental Health)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
KEISHA NICOLE HOUSE
Nurse Practitioner (Family)
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Clinic/Center (Federally Qualified Health Center (FQHC))
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 413-7425
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Health Educator
3240 W DIVISION ST
CHICAGO, IL 60651
Cook County (312) 996-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Moore's NPI number?

The NPI number for Kelly Moore is 1114516812. It was assigned to this individual provider in the NPPES registry on January 16, 2021.

Where is Kelly Moore located?

Kelly Moore practices at 3240 W Division St, Chicago, IL 60651. The listed phone number is (312) 413-7425.

What is Kelly Moore's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Ambulatory Care, with taxonomy code 163WP2201X.

When was this NPI record last updated?

The NPPES record for Kelly Moore was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.