Moon, Victor A

Moon, Victor A is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Ems 110, Rm 3293, Maywood IL 60153-3328. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Moon, Victor A can be contacted via phone (708) 327-2335.

Contact Information

Primary practice address
2160 S 1St Ave Ems 110, Rm 3293 Maywood IL 60153-3328
Phone: (708) 327-2335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 244059 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 244059 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 036.123000 Illinois

Profile Details

NPI number 1144403791
LBN Legal business name Moon, Victor A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2007
Last updated Aug 2nd, 2009 - about 15 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.

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