Organization
MIDWEST ENVIRONMENTAL MEDICINE PC
Active
Organization
MIDWEST ENVIRONMENTAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE C MOISAN M.D. (PRESIDENT)
(708) 448-1400
Entity
Organization
Contact information
Practice address
12255 S 80TH AVE, PALOS HEIGHTS, IL 60463-1270
(708) 448-1400
Mailing address
10660 W 143RD ST, SUITE B, ORLAND PARK, IL 60462-1982
(708) 349-0055
(708) 460-8031
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
IL
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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