IndividualActive
Jennifer Moeller, DMD
NPI 1336672831 · Prosthodontics · Chicago, IL
Provider details
- NPI number
- 1336672831
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 019.033187 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
111 E Wacker Dr Ste 23
Chicago, IL 60601-3713
Phone: (312) 938-3999
Approximate (ZIP-level) locationGet directions
Mailing address
2335 N Lincoln Ave Apt 1010
Chicago, IL 60614-4796
Additional practice locations (2)
- 4905 Old Orchard Ctr Ste 728Skokie, IL 60077-4734Phone: (847) 676-1432
- 14755 Northline RdSouthgate, MI 48195-2407Phone: (734) 281-0880
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.