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Organization

MICHAEL C. MORAN, M.D., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL C MORAN M.D., S.C. (PRESIDENT AND CEO)
(708) 425-1744
Entity
Organization

Contact information

Practice address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 425-1744
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 425-1744

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036084080
IL

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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