Individual
MOON WOO NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
(630) 264-8478
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 907-3969
(630) 907-3998
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.136194
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
49908-020
WI
Other
Enumeration date
06/08/2007
Last updated
11/18/2021
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