Active NPI
Kelly J Moyer, M.S., C.G.C.
- Genetic Counselor (M.S.)
- Maywood, IL
National Provider Identifier
1609852722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 2160 South First Ave
RM.1024/Build 103 - OB/GYN, Lumc
Maywood, IL 60153 - Phone
- (708) 216-8167
- NPI assigned
- Dec 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | Primary |
Addresses
Primary practice location
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
Phone (708) 445-9917
Other names 1
- Ms. Kelly J Connerton-Moyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609852722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 S GROVE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041941",
"telephone_number": "708-445-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 SOUTH FIRST AVE",
"address_2": "RM.1024/BUILD 103 - OB/GYN, LUMC",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "60153",
"telephone_number": "708-216-8167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "KELLY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.S., C.G.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "CONNERTON-MOYER",
"middle_name": "J",
"prefix": "MS.",
"credential": "M.S., C.G.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.