MS. KELLY J MOYER


Address: 2160 South First Ave, Rm.1024/build 103 - Ob/gyn, Lumc, Maywood, IL 60153
Phone: 7082168167

MS. KELLY J MOYER (NPI# 1609852722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609852722
Entity Type Individual
Full Name MS. KELLY J MOYER
Other Name MS. KELLY J CONNERTON-MOYER
Credential M.S., C.G.C.
Practice Address 2160 South First Ave
Rm.1024/build 103 - Ob/gyn, Lumc
Maywood
IL 60153
Mailing Address 1152 S Grove Ave
Oak Park
IL 60304-1941
Practice Telephone 7082168167
Mailing Telephone 7084459917
Enumeration Date 2005-12-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS Other Service Providers

Other Providers KELLY MOYER

NPI Name Taxonomy Address Enumeration
1629496260 Kelly Fisher Moyer Otolaryngology 16 S Eutaw St Ste 500, Baltimore, MD 21201-1619 2014-04-01
1346444825 Kelly Moyer Registered Nurse 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2007-06-11

Office Location

Street Address 2160 SOUTH FIRST AVE
RM.1024/BUILD 103 - OB/GYN, LUMC
City MAYWOOD
State IL
Zip Code 60153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538153168 Harrison Quanminh Le Anesthesiology 2160 South First Ave, Maywood, IL 60153 2005-09-09
1407410616 Natalie Susan Trojanowski Anesthesiology 2160 South First Ave, Maywood, IL 60153 2019-04-24
1033633557 Karim Bassily Student in an Organized Health Care Education/Training Program 2160 South First Ave, Ems 110, Suite 3210, Maywood, IL 60153 2017-07-26
1457778599 Daphne Li Neurological Surgery 2160 South First Ave, Maywood, IL 60153 2014-03-26
1154674380 Colleen Renee Schaidle Nurse Practitioner 2160 South First Ave, Loyola University Medical Center, Maywood, IL 60153 2012-10-25
1124375274 Alec Block Radiology 2160 South First Ave, Loyola Radation Oncology, Maywood, IL 60153 2012-08-08
1487911129 Rohit Chappidi Internal Medicine 2160 South First Ave, Maywood, IL 60153 2012-04-19
1558627075 Kashif Rizvi Dentist 2160 South First Ave, Maywood, IL 60153 2012-04-10
1295017408 Erin M Schilling Nurse Practitioner 2160 South First Ave, Maywood, IL 60153-2956 2011-09-13
1093976250 Michael Johannes Diggs Anesthesiology 2160 South First Ave, Dept of Anesthesiology, Maywood, IL 60153 2008-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053933077 Judie Noemie Hoilat Internal Medicine 2160 S 1st Avenue, Maywood, IL 60153 2020-05-13
1457972457 Yuchen Zheng Student in an Organized Health Care Education/Training Program Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 2020-04-30
1437779519 Amna Amad Siddiqui Student in an Organized Health Care Education/Training Program 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 2020-04-20
1982232211 Brian Kurtz Student in an Organized Health Care Education/Training Program 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 2020-03-31
1902434947 Saadiya Jabbar Psychiatry & Neurology Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 2020-03-27
1558919472 Linda Sue Moton Technician 10 South 15 Apt. 1, Maywood, IL 60153 2019-09-04
1760047518 Braden Robert Dasovic Student in an Organized Health Care Education/Training Program 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 2019-05-07
1134680713 Madeline Shaoyun Tiee Orthopaedic Surgery Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 2019-03-27
1538629746 Michael Murphy Orthopaedic Surgery 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 2019-03-22
1053871681 Michael V Padua Psychiatry & Neurology 2160 S 1st Ave Bldg, Maywood, IL 60153 2019-03-20
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275050585 Jamie Garman Genetic Counselor, MS 2160 S 1st Ave Rm 2656, Maywood, IL 60153-3328 2017-08-28
1942828801 Kelly Victoria Buh Genetic Counselor, MS 2160 S. First Ave., Building 150, Room 2656, Maywood, IL 60153 2020-07-08
1891165890 Melissa April Ramos Genetic Counselor, MS 2160 S 1st Ave, Maywood, IL 60153-3328 2015-10-02
1073983086 Chandni Khudai Genetic Counselor, MS 2160 S 1st Ave, Maywood, IL 60153-3328 2015-10-02
1215915772 Monica Leona Barth Genetic Counselor, MS 2160 S 1st Ave, Rm 1024, Bldg 103, Ob/gyne, Loyola Univ Med Center, Maywood, IL 60153-3328 2006-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588280069 Christine Marie Drogan Genetic Counselor, MS 5841 S Maryland Ave Rm G-109, Chicago, IL 60637-1443 2020-06-22
1497243786 Anna Katya Brossart Genetic Counselor, MS 3000 N Halsted St Ste 209, Chicago, IL 60657-5190 2018-04-23
1720507486 Rachel Hickey Genetic Counselor, MS 155 E Superior St Ofc 312a, Chicago, IL 60611-2911 2017-09-13
1477000941 Rikki Gaber Genetic Counselor, MS 900 W Nelson, G9108, Chicago, IL 60657 2016-09-01
1609329432 Courtney M. Cook Genetic Counselor, MS 406 E Washington Ave Apt 9, Effingham, IL 62401-3489 2016-07-28
1790134526 Elizabeth Therese Kaplan Genetic Counselor, MS 1000 Central St Ste 610, Evanston, IL 60201-1780 2016-06-13
1003275017 Sarah Walterman Genetic Counselor, MS 250 E Superior St Ste 5-2221, Chicago, IL 60611 2016-02-18
1225401334 Lisa Kinsley Genetic Counselor, MS 300 E Superior St, Tarry 13-729, Chicago, IL 60611-3010 2015-11-11
1003239971 Holley May Genetic Counselor, MS 1000 Central St Ste 620, Evanston, IL 60201-1780 2014-01-29
1942630256 Jeanine Schulze Genetic Counselor, MS 225 E Chicago Ave # 59, Chicago, IL 60611-2991 2013-11-22
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Competitor

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City MAYWOOD
Zip Code 60153

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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