Individual
JOHN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24600 W 127TH ST, PLAINFIELD, IL 60585-9507
(630) 646-7000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036169368
IL
Other
Enumeration date
03/18/2018
Last updated
10/01/2024
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