Individual
ALAN D MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
353 E BURLINGTON ST, SUITE 100, RIVERSIDE, IL 60546-2189
(708) 442-0221
(708) 442-5670
Mailing address
353 E BURLINGTON ST, SUITE 100, RIVERSIDE, IL 60546-2189
(708) 442-0221
(708) 442-5670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085002775
IL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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