Individual
DR. GEORGE THOMAS MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 E ERIE ST, SUITE 640, CHICAGO, IL 60611-2740
(312) 988-9300
(312) 988-9310
Mailing address
1 E ERIE ST, SUITE 640, CHICAGO, IL 60611-2740
(312) 988-9300
(312) 988-9310
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
036-104040
IL
Other
Enumeration date
10/20/2006
Last updated
04/29/2014
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