Dr. Kenneth Lawrence Moore
M.D. | Psychiatry | Addiction Medicine | 50+ years Exp
12 Tartan Ridge Rd, Burr Ridge
Illinois, 60527-8904
630-323-1316 Maps & DirectionsDr. Kenneth Lawrence Moore is a Burr Ridge, Illinois based psychiatrist with 50 years of experience in Addiction Medicine. He completed his graduation from Chicago College Of Medicine And Surgery in 1975. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Kenneth Lawrence Moore is 036-053328 for Addiction Medicine in Illinois. His current practice location is 12 Tartan Ridge Rd, Burr Ridge. Patients can reach him at 630-323-1316. Dr. Kenneth Lawrence Moore is M.D. in Addiction Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1891899258.
Dr. Kenneth Lawrence Moore focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Profile:
Dr. Kenneth Lawrence Moore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Kenneth Lawrence Moore |
| Specialization: | Addiction Medicine |
| Gender: | Male |
| Credentials: | M.D. |
| Experience: | 50+ years |
| Medical School Attended: | Chicago College Of Medicine And Surgery |
| Graduation Year: | 1975 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12 Tartan Ridge Rd, Burr Ridge,
Illinois, 60527-8904 |
| Phone: | 630-323-1316 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0446211874 |
| Enrollment ID: | I20041020000200 |
| NPI Number: | 1891899258 |
| NPI Enumeration Date: | 07 Sep, 2006 |
| NPI Last Update On: | 20 Jan, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kenneth Lawrence Moore are as mentioned below.
| License Number | Specialization | State | Status | |
| 036-053328 | Addiction Medicine | Illinois | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (140150) | Chicago, IL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Kenneth Lawrence Moore is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The Board Of Trustee For The University Of Illinois (3072422716) | 879 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Kenneth Lawrence Moore
12 Tartan Ridge Road,
Burr Ridge, Illinois |
| Zip: | 60527-8904 |
| Phone Number: | 630-323-1316 |
Patients can reach Dr. Kenneth Lawrence Moore at
12 Tartan Ridge Rd, Burr Ridge, Illinois or can
call to book an appointment on 630-323-1316.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.