Individual
SUSAN MARIE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
5632 S MCVICKER AVE, CHICAGO, IL 60638-3532
(773) 552-9779
Mailing address
5632 S MCVICKER AVE, CHICAGO, IL 60638-3532
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000715
IL
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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