Moran, Maureen E

Moran, Maureen E is an individual health care provider with primary practice located at 2650 Warrenville Rd Ste 280, Downers Grove IL 60515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moran, Maureen E can be contacted via phone (630) 324-7911.

Contact Information

Primary practice address
2650 Warrenville Rd Ste 280 Downers Grove IL 60515
Phone: (630) 324-7911
Fax: (630) 324-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085000424 Illinois

Profile Details

NPI number 1861409393
LBN Legal business name Moran, Maureen E
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 31st, 2017 - about 8 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 1861409393 NPPES
Indiana Other 970002846 MEDICAID

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