Dr. Kristen Grabow Moore
Emergency Physician
211 E Ontario St Suite 300
Chicago
, Illinois 60611-3468
Dr. Kristen Grabow Moore
Emergency Physician
211 E Ontario St Suite 300
Chicago
, Illinois 60611-3468
(757) 676-3748
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Kristen Grabow Moore
- 1250 W Fullerton Ave Apt 3e
- Chicago, IL
- Zip : 60614-2196
- Phone : (757) 676-3748
Second Address
- Dr. Kristen Grabow Moore
- 211 E Ontario St Suite 300
- Chicago, IL
- Zip : 60611-3468
- Phone : (312) 694-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 125-059649 | IL |
National Provider Identifier
| NPI | 1003102948 |
|---|---|
| Provider Name | Dr. Kristen Grabow Moore |
| First Address | Chicago, IL 60614-2196 |
| Second Address | Chicago, IL 60611-3468 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2011 |
| Last Update Date | 16/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.