| Dr Victor A Moon, MD | |
|
2160 S 1st Ave, Ems 110, Rm 3293, Maywood, IL 60153-3328 | |
| (708) 327-2335 | |
| Not Available |
| Full Name | Dr Victor A Moon |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 24 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144403791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 036.123000 (Illinois) | Primary |
| 208600000X | Surgery | 244059 (New York) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 244059 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| Glen Cove Hospital | Glen cove, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 6374 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Victor A Moon, MD 233 E Wacker Dr, #1402, Chicago, IL 60601-5104 Ph: (917) 686-4141 | Dr Victor A Moon, MD 2160 S 1st Ave, Ems 110, Rm 3293, Maywood, IL 60153-3328 Ph: (708) 327-2335 |
Dr. Lohith Bose, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Ems Bldg 110, Room 3210, Maywood, IL 60153 Phone: 708-327-3041 Fax: 708-327-3489 |
Chelsea Yim, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-7766 |
Dr. Taylor Morgan, MD, MPH Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 313-820-8139 |
Dr. Timothy Wells King, MD, PHD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 |