Moran, David Duffy

Moran, David Duffy is an sole proprietor health care provider with primary practice located at 42 Main St , Park Ridge IL 60068-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Moran, David Duffy can be contacted via phone (847) 823-2129.

Contact Information

Primary practice address
42 Main St Park Ridge IL 60068-4054
Phone: (847) 823-2129
Fax: (847) 823-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-038570 Illinois

Profile Details

NPI number 1174610885
LBN Legal business name Moran, David Duffy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174610885 NPPES
Illinois Other 457560 MEDICARE PTAN
Illinois Other 0694000001 MEDICARE PTAN

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