Dr. Kenneth Lawrence Moore, M.D.
Addiction Medicine
NPI: 1891899258 Illinois
73/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice12/15
20 years
Data Freshness6/10
Updated 3815 days ago
License Status
IllinoisActive
License #
036053328
Issued
Aug 19, 1976
Expires
Jul 31, 2026
Practice Information
- Address
- 12 TARTAN RIDGE RD
- BURR RIDGE, IL 60527
- Phone
- (630) 323-1316
- In Practice Since
- September 7, 2006
- Data Last Updated
- January 20, 2016
NPI Details
- NPI Number
- 1891899258
- Status
- Active
- Taxonomy Code
- 2084A0401X
Data sourced from CMS NPPES public database. Last verified: January 20, 2016.
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