Kristen Marie Moser
Family Doctor
5359 W Fullerton Ave
Chicago
, Illinois 60639-1450
Kristen Marie Moser
Family Doctor
5359 W Fullerton Ave
Chicago
, Illinois 60639-1450
(773) 836-7381
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Kristen Marie Moser
- 5359 W Fullerton Ave
- Chicago, IL
- Zip : 60639-1450
- Fax : (773) 836-7381
- Phone : (773) 836-2785
Second Address
- Kristen Marie Moser
- 5359 W Fullerton Ave
- Chicago, IL
- Zip : 60639-1450
- Fax : (773) 836-7381
- Phone : (773) 836-2785
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036149103 | IL |
National Provider Identifier
| NPI | 1003264177 |
|---|---|
| Provider Name | Kristen Marie Moser |
| First Address | Chicago, IL 60639-1450 |
| Second Address | Chicago, IL 60639-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2016 |
| Last Update Date | 26/12/2019 |
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.