Individual
MICHAEL MORAVEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 E HURON ST STE 7-220, CHICAGO, IL 60611-2908
(312) 503-8144
(312) 926-0560
Mailing address
251 E HURON ST STE 7-220, CHICAGO, IL 60611-2908
(312) 503-8144
(312) 926-0560
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036151900
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.069430
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
04/21/2016
Last updated
07/12/2021
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