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Individual

DR. DIANY MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
740 WAUKEGAN RD, SUITE 360, DEERFIELD, IL 60015-4374
(847) 945-6770
(847) 945-3159
Mailing address
740 WAUKEGAN RD, SUITE 360, DEERFIELD, IL 60015-4374
(847) 945-6770
(847) 945-3159

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036100283
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036100283
IL
01
4932200
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/23/2006
Last updated
01/07/2014
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