Thomas August Moran, MD Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Skokie, IL

NPI

1649534447

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

036139014 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2012-06-27

Last updated

2021-04-07