| Javier Moreno MD Corp | |
|
1819 N Normandy Ave Chicago IL 60707-3927 | |
| (847) 620-9116 | |
| (844) 718-2707 |
| Full Name | Javier Moreno MD Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1819 N Normandy Ave, Chicago, Illinois |
| Authorized Official Name and Position | Javier a Moreno (PRESIDENT) |
| Authorized Official Contact | 8476209116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Moreno MD Corp 1819 N Normandy Ave Chicago IL 60707-3927 Ph: (847) 620-9116 | Javier Moreno MD Corp 1819 N Normandy Ave Chicago IL 60707-3927 Ph: (847) 620-9116 |
| NPI Number | 1043713324 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043713324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-052532 (Illinois) | Primary |
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