Moisan, Terrence C

Moisan, Terrence C is an individual health care provider with primary practice located at 12255 S 80Th Ave , Palos Heights IL 60463-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Moisan, Terrence C can be contacted via phone (708) 448-1400.

Contact Information

Primary practice address
12255 S 80Th Ave Palos Heights IL 60463-1270
Phone: (708) 448-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036050798 Illinois

Profile Details

NPI number 1699722793
LBN Legal business name Moisan, Terrence C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated May 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699722793 NPPES
Illinois Other 036050798 MEDICAID
Illinois Other 290007170 MEDICAID

Popular Providers