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Individual

DR. DAVID D MORIMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036-076648
IL
207W00000X
Ophthalmology Physician
Primary
036076648
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036076648
IL
01
9900200
BCBS
IL
Enumeration date
04/13/2006
Last updated
10/31/2025
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