Individual
MRS. KATHRYN ELIZABETH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611
(312) 695-7950
(312) 695-5747
Mailing address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
016677
NY
363A00000X
Physician Assistant
Primary
085006903
IL
Other
Enumeration date
07/10/2013
Last updated
02/27/2019
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