Individual
CYNTHIA H MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2118
Mailing address
2706 N TROY ST, 1, CHICAGO, IL 60647-1508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01066463A
IN
207P00000X
Emergency Medicine Physician
Primary
036.119140
IL
207P00000X
Emergency Medicine Physician
2020010307
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153076
—
MA
Enumeration date
01/14/2008
Last updated
04/22/2020
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