Dr. Victor A Moon, M.D.
Plastic Surgery in Maywood, IL. Individual provider (NPI-1).
NPI number1144403791
StatusActive
Last updated in NPPESAug 2, 2009
Details
- NPI
- 1144403791
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victor A Moon
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2007
- Last updated
- Aug 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 036.123000 | IL | Yes |
| 208C00000X | Colon & Rectal Surgery | 244059 | NY | |
| 208600000X | Surgery | 244059 | NY |
Practice location
2160 S 1st AveEms 110, Rm 3293
Maywood, IL 60153-3328
Phone 708-327-2335
Mailing address
233 E Wacker Dr#1402
Chicago, IL 60601-5104
Phone 917-686-4141
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