Whalio Doctors

NPI 1003264177

Kristen Marie Moser, MD

Practitioner Family Medicine Physician Chicago, IL

Practice location

Address
5359 W Fullerton Ave, Chicago, IL 60639-1450
Phone
(773) 836-2785
Fax
(773) 836-7381

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036149103 (IL)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 125.068571 (IL)

Registry record

NPI
1003264177
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 May 2016
Record last updated
26 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.