Individual
MICHAEL JOSEPH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 380, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-2550
(708) 354-4552
Mailing address
5201 WILLOW SPRINGS RD, SUITE 380, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 354-2550
(708) 354-4552
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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