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Contact Information

ELENA S MOORE, MD
2650 RIDGE AVE
KELLOGG CANCER CENTER
EVANSTON, IL60201-1718
 Phone: 847-570-2639
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELENA S MOORE · (Female)

NPI Number 1730382839
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2007
Last updated 02/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036132978
  • Other BP1-0026448 INSTITUTIONAL PERMIT
Hospital affiliation(s)
  • EVANSTON HOSPITAL - (Acute Care)
    2650 RIDGE AVE
    EVANSTON, IL 60201
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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