Individual
CASEY ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5841 SOUTH MARYLAND AVE, UNIVERSITY OF CHICAGO, CHICAGO, IL 60637
(773) 834-7272
(773) 834-7137
Mailing address
2142 W CHICAGO AVE APT 2, CHICAGO, IL 60622-5203
(704) 616-6508
(773) 834-7137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000104143
NC
363A00000X
Physician Assistant
Primary
085003433
IL
Other
Enumeration date
09/29/2005
Last updated
03/22/2013
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