Individual
CASEY A MOAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MADISON ST STE 120, JOLIET, IL 60435-6652
(815) 725-2699
(815) 725-2120
Mailing address
301 MADISON ST STE 120, JOLIET, IL 60435-6652
(815) 725-2699
(815) 725-2120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036077088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077088
—
IL
Enumeration date
07/06/2006
Last updated
04/13/2021
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