Moran, Thomas Evan

Moran, Thomas Evan is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400 , Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Moran, Thomas Evan can be contacted via phone (877) 632-6637.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036168634 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01093526A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 01093526A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036168634 Illinois

Profile Details

NPI number 1912467044
LBN Legal business name Moran, Thomas Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2019
Last updated Jun 24th, 2024 - about last year

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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