Individual
CHRISTOPHER JOHN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036111324
IL
2086X0206X
Surgical Oncology Physician
Primary
MD154182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111324
—
IL
05
—
34578600
—
WI
01
—
P00165724
RAILROAD MEDICARE
—
Enumeration date
07/04/2006
Last updated
02/04/2022
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